Pacific Oral & Maxillofacial Pathology Laboratory

LBN: University Of The Pacific
Pacific Oral & Maxillofacial Pathology Laboratory is an health care organization with primary practice located at 155 5Th St Popl Suite 407E, San Francisco CA 94103-2919. The organization recently has only one registered license in Dental Providers / Oral and Maxillofacial Pathology, which is considered as the primary health care specialty. University Of The Pacific can be contacted via phone (415) 929-6560, or through Pegueros, Ed via phone (415) 351-7192.

Contact Information

Primary practice address
155 5Th St Popl Suite 407E San Francisco CA 94103-2919
Fax: (415) 929-6654
Website:
Authorized official contact:
Name: Pegueros, Ed

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Pathology 1223P0106X

Profile Details

NPI number 1407273279
LBN Legal business name University Of The Pacific
DBA Doing business as Pacific Oral & Maxillofacial Pathology Laboratory
Authorized official Pegueros, Ed
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 18th, 2014
Last updated Jul 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407273279 NPPES
California Other CLF 00002594 STATE ID NUMBER
California Other 05D0643664 STATE ID NUMBER

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