MEDICARE: PRECISION ASPIRATION AND BIOPSY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1144423476
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PRECISION ASPIRATION AND BIOPSY

Provider Business Mailing Address
First Line	:	PO BOX 2311
Second Line	:
City	:	CHATSWORTH
State	:	CA
Zip	:	91313-2311
Country	:	US
Telephone Number	:	818-718-9500
Fax Number	:	818-718-9507

Provider Business Practice Location Address
First Line	:	914 N BEVERLY DR
Second Line	:
City	:	BEVERLY HILLS
State	:	CA
Zip	:	90210-2913
Country	:	US
Telephone Number	:	370-702-6701
Fax Number	:	818-718-9507

Authorized Official
Title or Position	:	PRESIDENT
Name	:	CELINA NADELMAN
Credential	:	M.D.
Telephone Number	:	310-702-6701

Provider Enumeration Date	:	06/06/2007
Last Update Date	:	01/08/2009

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