Interscope Pathology Medical Group Inc

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

05D0700248 Issued in CA

Legal business name

INTERSCOPE PATHOLOGY MEDICAL GROUP INC

Practice address

30700 Russell Ranch Rd Suite 250, Unit 235
Westlake Village, CA 91362-5907

Phone

(818) 992-7848

Fax

(818) 992-7748

NPI assigned

Jul 28, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Bryan T Lin, M.D.NPI 1427077171

Title

Treasuer/President

Phone

(818) 992-7848

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Interscope Pathology Medical Group

  • Clinical Medical Laboratory
  • Westlake Village, CA
  • NPI 1386807246

  3971502261

  Same PAC ID

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bryan Tzyyoung Lin, M.D. PHD

  • Anatomic Pathology & Clinical Pathology Physician
  • Westlake Village, CA
  • NPI 1427077171

  Specialist

  Medicare reassignment NPD Authorized official
• Igor V Kozlov, M.D.

  • Specialist
  • Canoga Park, CA
  • NPI 1881629368
  Medicare reassignment NPD
• Alan S Bricklin, M.D.

  • Specialist
  • Tarzana, CA
  • NPI 1073539102
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767571200000",
    "number": "1104830074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30700 RUSSELL RANCH RD STE 250",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913629507",
            "telephone_number": "818-992-7848",
            "fax_number": "818-992-7748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30700 RUSSELL RANCH RD SUITE 250, UNIT 235",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913625907",
            "telephone_number": "818-992-7848",
            "fax_number": "818-992-7748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERSCOPE PATHOLOGY MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2026-01-05",
        "certification_date": "2026-01-05",
        "status": "A",
        "authorized_official_last_name": "LIN",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "TREASUER/PRESIDENT",
        "authorized_official_telephone_number": "818-992-7848",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CA",
            "license": "05D0700248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mihaela Iorga, DPT
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• John Andrew Irias, LMFT
• Irma Sommerfeld Licensed Clinical Social Worker a Professional Corp
• Stephen Irshay

• Anatomic Pathology & Clinical Pathology Physician in Westlake Village, CA
• Providers in Westlake Village, CA by specialty
• Anatomic Pathology & Clinical Pathology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.