Healthcare Provider Details

I. General information

NPI: 1467444893
Provider Name (Legal Business Name): STERLING PATHOLOGY MED CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/22/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3020 OLD RANCH PKWY SUITE 300
SEAL BEACH CA
90740-2765
US

IV. Provider business mailing address

3020 OLD RANCH PKWY SUITE 300
SEAL BEACH CA
90740-2765
US

V. Phone/Fax

Practice location:
  • Phone: 562-799-5518
  • Fax: 562-799-5544
Mailing address:
  • Phone: 562-799-5518
  • Fax: 562-799-5544

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: MR. CHENGGAO YANG
Title or Position: PRESIDENT
Credential:
Phone: 562-799-5518