Corona Pathology Services

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

CLF00003712 Issued in CA

Legal business name

CORONA PATHOLOGY SERVICES

Practice address

4444 W Riverside Dr
Suite 308
Burbank, CA 91505-4073

Phone

(818) 566-1891

Fax

(818) 566-8834

NPI assigned

Jan 24, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Kamal Ali Waheb

Title

Ceo

Phone

(818) 402-8060

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Conrad Gorospe, M.D.

  • Clinical Pathology Physician
  • Walnut, CA
  • NPI 1134399173
  NPD (past)

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330300800000",
    "number": "1346395779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4444 W RIVERSIDE DR",
            "address_2": "SUITE 308",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054073",
            "telephone_number": "818-566-1891",
            "fax_number": "818-566-8834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4444 W RIVERSIDE DR",
            "address_2": "SUITE 308",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054073",
            "telephone_number": "818-566-1891",
            "fax_number": "818-566-8834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORONA PATHOLOGY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2012-02-27",
        "status": "A",
        "authorized_official_last_name": "WAHEB",
        "authorized_official_first_name": "KAMAL",
        "authorized_official_middle_name": "ALI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-402-8060",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "05D0879836",
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "CLF00003712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Cordero
• Cordial Care Hospice Inc
• Rosana Coria, LCSW
• Cornerstone Caregiving West LLC
• Corona Pathology CPS Inc.
• Corona Pathology Services Inc
• Amanda Corona
• Melissa Corona
• Corporation Home Health
• Gabriela Corrillo

• Clinical Medical Laboratory in Burbank, CA
• Providers in Burbank, CA by specialty
• Clinical Medical Laboratory in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.