MEMORIAL PATHOLOGY MEDICAL GROUP INC (NPI# 1932438140) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932438140 |
| Entity Type | Organization |
| Organization Name | MEMORIAL PATHOLOGY MEDICAL GROUP INC |
| Practice Address |
14900 Imperial Hwy La Mirada CA 90638-2172 |
| Mailing Address |
Po Box 10076 Van Nuys CA 91410-0076 |
| Practice Telephone | 5629441900 |
| Mailing Telephone | 8055788300 |
| Mailing Fax Number | 8055783911 |
| Enumeration Date | 2009-12-17 |
| Last Update Date | 2010-03-08 |
| Authorized Official Name | WILLIAM POWER (PRESIDENT) |
| Authorized Official Telephone | 5629071742 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
05D0897627 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265685036 | Memorial Pathology Medical Group Inc | Clinical Medical Laboratory | 3828 Hughes Ave, Culver City, CA 90232-2716 | 2008-10-24 |
| 1427010586 | Memorial Pathology Medical Group Inc | Pathology | 1145 W Redondo Beach Blvd, Gardena, CA 90247-3528 | 2006-04-04 |
| 1477515500 | Memorial Pathology Medical Group Inc | Pathology | 3828 Delmas Ter, Culver City, CA 90232-2713 | 2006-04-04 |
| Street Address |
14900 IMPERIAL HWY |
| City | LA MIRADA |
| State | CA |
| Zip Code | 90638-2172 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033294723 | Southern California Specialty Care, LLC | Long Term Care Hospital | 14900 Imperial Hwy, La Mirada, CA 90638 | 2006-10-25 |
| 1386270916 | Southern California Specialty Care, LLC | Skilled Nursing Facility | 14900 Imperial Hwy, La Mirada, CA 90638-2172 | 2020-03-16 |
| 1548891971 | Southern California Specialty Care, LLC | Skilled Nursing Facility | 14900 Imperial Hwy, La Mirada, CA 90638-2172 | 2020-02-04 |
| 1245877570 | Mary Hoang Nguyen | Pharmacist | 14900 Imperial Hwy, La Mirada, CA 90638-2172 | 2019-12-05 |
| 1730730797 | Stephanie Lozano | Physical Therapist | 14900 Imperial Hwy, La Mirada, CA 90638-2172 | 2019-09-21 |
| 1730586397 | Van Anh Hoang | Pharmacist | 14900 Imperial Hwy, La Mirada, CA 90638-2172 | 2014-11-26 |
| 1275952483 | Kenneth S. Johnson, M.d. A Medical Corporation | Anesthesiology | 14900 Imperial Hwy, La Mirada, CA 90638-2172 | 2014-04-15 |
| 1306267208 | Kindred Hospital Soutbay | Long Term Care Hospital | 14900 Imperial Hwy, La Mirada, CA 90638-2172 | 2013-12-18 |
| 1710216049 | Knd Development 59 LLC | Hospitalist | 14900 Imperial Hwy, La Mirada, CA 90638-2172 | 2009-12-16 |
| 1457583601 | Southern California Specialty Care, Inc. | General Practice | 14900 Imperial Hwy, La Mirada, CA 90638-2172 | 2009-08-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972144095 | Amanda Connell | Counselor | 13710 La Mirada Blvd., Straight Talk, La Mirada, CA 90638 | 2019-09-30 |
| 1679054894 | James Kim | Occupational Therapist | 11926 La Mirada Blvd., La Mirada, CA 90638 | 2018-08-25 |
| 1780163915 | Complete Spine and Joint Center Inc | Chiropractor | 15112 Rosecrans Ave, La Mirada, CA 90638 | 2018-08-08 |
| 1124520606 | Meredith Narcisse | Counselor | Aegis Treatment Center 14240 Imperial Hwy, La Mirida, CA 90638 | 2018-03-01 |
| 1336685114 | Dorina Hamilton | Counselor | 14240 E. Imperial Hwy., La Mirada, CA 90638 | 2017-01-17 |
| 1497201768 | Blm Pharmacy Inc | Pharmacy | 12675 La Mirada Blvd., Suite 100, La Mirada, CA 90638 | 2016-08-28 |
| 1972954535 | Wendy Tran | Dentist | 12265 La Mirada Blvd, La Mirada, CA 90638 | 2016-06-24 |
| 1962851410 | Amy Bender | Counselor | 14240 Imperial Highway, La Mirada, CA 90638 | 2016-06-06 |
| 1699137430 | Andrea Lauren Smith | Chiropractor | 15651 East Imperial Hwy Ste 100, La Mirada, CA 90638 | 2016-03-22 |
| 1750797098 | Napoleon Tiquia | General Practice | 12049 Hartdale Avenue, La Mirada, CA 90638 | 2014-07-08 |
| Find all providers in zip 90638 | ||||
| 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. |
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|---|---|---|---|---|
| 1063058170 | Paragon Diagnostics San Francisco | Pathology | 900 Hyde St Fl 1, San Francisco, CA 94109-4806 | 2019-11-24 |
| 1669034518 | Diagnostic Pathology Medical Group Inc | Pathology | 2801 K St Ste 235, Sacramento, CA 95816-5170 | 2019-07-01 |
| 1093277956 | Shajia Rahman Ansari | Pathology | 38558 Vancouver Cmn, Fremont, CA 94536-4056 | 2019-04-01 |
| 1831655158 | Rana Richeh | Pathology | 12 Spectrum Pointe Dr, Lake Forest, CA 92630-2242 | 2019-02-11 |
| 1710457510 | University of California Sfgh Medical Group | Pathology | 1001 Potrero Ave Rm 2m14, San Francisco, CA 94110-3518 | 2018-12-05 |
| 1770053233 | Samuel Jason Guzman | Pathology | 10026 Karmont Ave, South Gate, CA 90280-5417 | 2018-11-27 |
| 1144799750 | Penguin Medical Group, Inc | Pathology | 11 W Del Mar Blvd Ste 201, Pasadena, CA 91105-2593 | 2018-11-13 |
| 1023596731 | Uc San Diego, Pathology Dept | Pathology | East Campus Office Building, Medical Center Dr, San Diego, CA 92037 | 2018-08-03 |
| 1972080752 | Boris Shlopov Md Pathology Medical Corporation | Pathology | 800 S Main, Corona, CA 92882 | 2018-07-24 |
| 1902383920 | Ntr Resources, LLC | Pathology | 17433 Nordhoff, Northridge, CA 91325 | 2018-07-23 |
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| 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.