Healthcare Provider Details

I. General information

NPI: 1659633493
Provider Name (Legal Business Name): PATHOLOGY ASSOCIATES OF ARCADIA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/07/2012
Last Update Date: 03/06/2026
Certification Date: 03/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

405 LINDA VISTA AVE
PASADENA CA
91105-1237
US

IV. Provider business mailing address

5700 SOUTHWYCK BLVD
TOLEDO OH
43614-1509
US

V. Phone/Fax

Practice location:
  • Phone: 323-409-4600
  • Fax: 323-441-8183
Mailing address:
  • Phone: 800-288-8325
  • Fax: 419-866-5453

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License NumberA34284
License Number StateCA

VIII. Authorized Official

Name: PARAKRAMA T CHANDRASOMA
Title or Position: PRESIDENT
Credential: MD
Phone: 800-288-8325