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General NPI Number Information
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NPI Number | 1548396831
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Entity Type | Organization
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Legal Business Name | WHITTIER PATHOLOGY MEDICAL GROUP
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Dates
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Enumeration Date | 02/23/2007
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Last Update Date | 01/26/2022
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Provider Practice Location Address
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Address Line | 12401 WASHINGTON BLVD
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City | WHITTIER
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State | CA
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Zip | 90602-1006
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Country | US
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Telephone | 562-906-5500
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Fax | 562-789-6872
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Provider Business Mailing Address
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Address Line | PO BOX 511246
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City | LOS ANGELES
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State | CA
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Zip | 90051-3045
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Country | US
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Telephone | 562-698-0811
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Fax | 562-789-4355
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Authorized Official
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Title or Position | PRESIDENT
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Name | NATHAN S HONDA
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Credential | MD
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Telephone | 562-698-0811
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number |
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License Number State |
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