Memorial Pathology Medical Group Inc

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

Legal business name

MEMORIAL PATHOLOGY MEDICAL GROUP INC

Practice address

3828 Delmas Ter
Culver City, CA 90232-2713

Phone

(310) 836-7000

Fax

(310) 815-3107

NPI assigned

Apr 4, 2006

Organization subpart

No

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

Authorized official

Name

William Power, MD

Title

Laboratory Director

Phone

(310) 836-7000

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358380800000",
    "number": "1477515500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10076",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914100076",
            "telephone_number": "805-578-8300",
            "fax_number": "805-578-8950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3828 DELMAS TER",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902322713",
            "telephone_number": "310-836-7000",
            "fax_number": "310-815-3107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL PATHOLOGY MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-04",
        "last_updated": "2013-01-17",
        "status": "A",
        "authorized_official_last_name": "POWER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "LABORATORY DIRECTOR",
        "authorized_official_telephone_number": "310-836-7000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0016480",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patricia Mejia
• Mela Counseling
• William Edward Melzer, O.D.
• Madelaine Nicole Memmer
• Memorial Pathology Medical Group Inc
• Melinda W Mendel
• Claudia Mendez
• Diana Mendez
• Erica Mendez
• Gabriela Mendez

• Anatomic Pathology & Clinical Pathology Physician in Culver City, CA
• Providers in Culver City, 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 17, 2013; 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.