Memorial Pathology Medical Group Inc

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

05D0897627 Issued in CA

Legal business name

MEMORIAL PATHOLOGY MEDICAL GROUP INC

Practice address

14900 Imperial Hwy
La Mirada, CA 90638-2172

Phone

(562) 944-1900

NPI assigned

Dec 17, 2009

Last updated

Mar 8, 2010By the provider in NPPES

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

President

Phone

(562) 907-1742

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1261008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268006400000",
    "number": "1932438140",
    "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": "805-578-3911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14900 IMPERIAL HWY",
            "city": "LA MIRADA",
            "state": "CA",
            "postal_code": "906382172",
            "telephone_number": "562-944-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL PATHOLOGY MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-17",
        "last_updated": "2010-03-08",
        "status": "A",
        "authorized_official_last_name": "POWER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-907-1742",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CA",
            "license": "05D0897627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meditech Solutions
• Mehdi Motakef D.D.S., M.S. Inc.
• Mehrabian & Ambarachyan Dental Corporation
• Mehrabian & Ambarachyan Dental Corporation
• Lemuel Cruz Melo
• Alexander A Mendez, M.D.
• Chester Mendoza
• Amy Merrill
• Michaels Medical Group
• Gregory Warren Middleton, D.C.

• Anatomic Pathology & Clinical Pathology Physician in La Mirada, CA
• Providers in La Mirada, 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 Mar 8, 2010; 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.