Pathology & Laboratory Medical Group Inc

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

Legal business name

PATHOLOGY & LABORATORY MEDICAL GROUP INC

Practice address

309 W Beverly Blvd
Montebello, CA 90640-4308

Phone

(323) 725-4211

Fax

(323) 889-2406

NPI assigned

Nov 28, 2006

Organization subpart

No

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

Authorized official

Name

Robert A Orlando, MD

Title

President

Phone

(323) 725-4211

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434499200000",
    "number": "1417023409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5856 CORPORATE AVE",
            "address_2": "SUITE 200",
            "city": "CYPRESS",
            "state": "CA",
            "postal_code": "906304754",
            "telephone_number": "714-236-4000",
            "fax_number": "714-236-4006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 W BEVERLY BLVD",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906404308",
            "telephone_number": "323-725-4211",
            "fax_number": "323-889-2406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATHOLOGY & LABORATORY MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2015-06-17",
        "status": "A",
        "authorized_official_last_name": "ORLANDO",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-725-4211",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0066850",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ02790Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cyrus Parsa, D.O.
• Shahe Pashayan, MD
• Nidhi Patel-Joshi
• Piyush Patel, MD
• Shushma Patel, R.PH.,MBA
• Patrick Kang DDS Dental Group
• Kenneth McGhee Patterson, AU.D
• Natasha Pejman-Gonzalez
• Mario Alberto Perez Villagomez
• Alejandro John Perez-Sandi III, FNP

• All providers in Montebello, CA
• Anatomic Pathology & Clinical Pathology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2015; 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.