Interscope Pathology Medical Group

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

CLF3199 Issued in CA

Legal business name

INTERSCOPE PATHOLOGY MEDICAL GROUP

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 9, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Bryan Lin, MDNPI 1427077171

Title

Medical Director

Phone

(818) 992-7848

Specialties & licenses 1

Addresses

Other identifiers 2

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 Inc

  • Anatomic Pathology & Clinical Pathology Physician
  • Westlake Village, CA
  • NPI 1104830074

  3971502261

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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
  NPD Authorized official
• Alan S Bricklin, M.D.

  • Specialist
  • Tarzana, CA
  • NPI 1073539102
  NPD
• Igor V Kozlov, M.D.

  • Specialist
  • Canoga Park, CA
  • NPI 1881629368
  NPD

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

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775347200000",
    "number": "1386807246",
    "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": "818-992-7943"
        },
        {
            "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",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-09",
        "last_updated": "2026-04-05",
        "certification_date": "2026-04-05",
        "status": "A",
        "authorized_official_last_name": "LIN",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "818-992-7848",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "CLF3199",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE/CLIA",
            "identifier": "05D0700248",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ59323Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Institute of Sleep and Wellness
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• Integrated Dermatology of Westlake Village, PC
• Integrated Minds Psychological Services, Inc
• Integrative Solutions Physical Therapy
• Interscope Pathology Medical Group Inc
• Mihaela Iorga, DPT
• Daniel Pablo Iraheta Montejo
• John Andrew Irias, LMFT
• Irma Sommerfeld Licensed Clinical Social Worker a Professional Corp

• Clinical Medical Laboratory in Westlake Village, CA
• Providers in Westlake Village, 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 Apr 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.