SOC PATHOLOGY MEDICAL GROUP INC. (NPI# 1598081424) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598081424 |
| Entity Type | Organization |
| Organization Name | SOC PATHOLOGY MEDICAL GROUP INC. |
| Practice Address |
19951 Mariner Ave 155 Torrance CA 90503-1672 |
| Practice Telephone | 3102253220 |
| Practice Fax Number | 3106987040 |
| Mailing Telephone | 3102253220 |
| Mailing Fax Number | 3106987040 |
| Enumeration Date | 2010-04-16 |
| Last Update Date | 2010-04-19 |
| Authorized Official Name | ROBIN A. MOORE (PRESIDENT/CEO) |
| Authorized Official Telephone | 3102253220 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207ZP0105X |
Pathology Specialization: Clinical Pathology/Laboratory Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
Allopathic & Osteopathic Physicians |
| Street Address |
19951 MARINER AVE 155 |
| City | TORRANCE |
| State | CA |
| Zip Code | 90503-1672 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134113186 | Phillip M Cacheris | Pathology | 19951 Mariner Ave, Suite 155, Torrance, CA 90503-1672 | 2005-09-06 |
| 1730320649 | Beth Palla | Pathology | 19951 Mariner Ave, Suite 155, Torrance, CA 90503-1672 | 2009-03-23 |
| 1962650093 | John G. Vallone | Pathology | 19951 Mariner Ave, Suite 155, Torrance, CA 90503-1672 | 2008-09-03 |
| 1871768820 | Steven Jeffrey Ohsie | Pathology | 19951 Mariner Ave, Suite 155, Torrance, CA 90503-1672 | 2008-04-29 |
| 1891914529 | Pathology Business Services | Pathology | 19951 Mariner Ave, Suite 155, Torrance, CA 90503-1672 | 2007-04-24 |
| 1235222001 | Pathology, Inc. | Clinical Medical Laboratory | 19951 Mariner Ave, Suite 150, Torrance, CA 90503-1672 | 2006-10-02 |
| 1902844566 | Mary Beth Shwayder | Specialist | 19951 Mariner Ave, Suite 150, Torrance, CA 90503-1672 | 2006-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013562180 | Jason Anthony Maglinao | Chiropractor | 21010 Anza Ave., #12, Torrance, CA 90503 | 2019-08-06 |
| 1891288890 | Ehab Samaan Dds Inc | Dentist | 19019 Hawthorne Blvd Ste 100b, Torrance, CA 90503 | 2018-06-13 |
| 1740771435 | Icare California House Call Practice LLC | Nurse Practitioner | 4460 Spencer St, Torrance, CA 90503 | 2018-05-29 |
| 1396258729 | South Bay Home Care, Inc., Dba Always Best Care - South Bay | In Home Supportive Care | 370 S. Crenshaw Blvd., Ste. E106, Torrance, CA 90503 | 2017-11-07 |
| 1770093023 | Home Care Professional Services, Inc. | In Home Supportive Care | 3838 West Carson Street, Suite 208, Torrance, CA 90503 | 2017-10-01 |
| 1003355686 | Mona Nejad | Dentist | 4305 Torrance Blvd Ste 103, Torrance, CA 90503 | 2017-02-16 |
| 1497114722 | Jacqueline Martinez | Technician, Other | 4201 Torrance Blvd Suite 190, Torrance, CA 90503 | 2016-02-15 |
| 1093196255 | Hanmo Gu | Chiropractor | 3510 Torrance Blvd., Ste 106, Torrance, CA 90503 | 2015-06-13 |
| 1164813341 | Aimee Y Miyazawa | Specialist/Technologist | 20501 Earl St. Ste. 3, Torrance, CA 90503 | 2015-02-10 |
| 1396145231 | Nicole Soghomonian | Social Worker | 5010 Merrill St, Torrance, CA 90503 | 2014-08-28 |
| Find all providers in zip 90503 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972985679 | Joseph H Selliken Jr. | Pathology | 4301 W 230th Pl, Torrance, CA 90505-3414 | 2015-06-18 |
| 1194906586 | Cynthia Lorenzo | Pathology | 1000 West Carson St, Torrance, CA 90509 | 2007-11-14 |
| 1437341005 | Faith Mary Ough | Pathology | 1000 W Carson St Dept Of, Torrance, CA 90502-2004 | 2007-08-16 |
| 1295927887 | Fernando Antelo | Pathology | 1000 W Carson St, Box #12, Department of Pathology, Torrance, CA 90502-2004 | 2007-08-16 |
| 1346283546 | Alfred F.k. Lui | Pathology | 19951 Mariner Ave., Suite 150, Torrance, CA 90503 | 2006-06-14 |
| 1134113186 | Phillip M Cacheris | Pathology | 19951 Mariner Ave, Suite 155, Torrance, CA 90503-1672 | 2005-09-06 |
| 1386141588 | Matthew Crabtree | Pathology | 1000 W Carson St, Torrance, CA 90502-2004 | 2018-04-12 |
| 1235474065 | Felicita Ermelinda Baratelli | Pathology | 1000 W Carson St, Torrance, CA 90502 | 2012-12-05 |
| 1902194509 | Elena Enbom | Pathology | 1000 W Carson St, Torrance, CA 90502-2004 | 2011-07-16 |
| 1730320649 | Beth Palla | Pathology | 19951 Mariner Ave, Suite 155, Torrance, CA 90503-1672 | 2009-03-23 |
| Find all providers in TORRANCE | ||||
Please comment or provide details below to improve the information on SOC PATHOLOGY MEDICAL GROUP INC..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.