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Contact Information

GLENDALE PATHOLOGY ASSOCIATES MEDICAL GROUP OF GLENDALE
1509 WILSON TER
GLENDALE, CA91206-4007
 Phone: 818-409-8000
 Fax: 323-265-5086
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for GLENDALE PATHOLOGY ASSOCIATES MEDICAL GROUP OF GLENDALE

NPI Number 1053305797
LBN Legal business name GLENDALE PATHOLOGY ASSOCIATES MEDICAL GROUP OF GLENDALE
Authorized official MICHELE COSGROVE - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 09/08/2005
Last updated 12/01/2023 - About 3 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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