MEDICARE: MALIBU PATHOLOGY

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	291U00000X	Clinical Medical Laboratory

General Provider Information

NPI Number	:	1184207730
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MALIBU PATHOLOGY

Provider Business Mailing Address
First Line	:	28222 AGOURA RD STE 101
Second Line	:
City	:	AGOURA HILLS
State	:	CA
Zip	:	91301-2484
Country	:	US
Telephone Number	:	310-497-1335
Fax Number	:

Provider Business Practice Location Address
First Line	:	28222 AGOURA RD STE 101
Second Line	:
City	:	AGOURA HILLS
State	:	CA
Zip	:	91301-2484
Country	:	US
Telephone Number	:	310-497-1335
Fax Number	:

Authorized Official
Title or Position	:	MEDICAL LAB DIRECTOR
Name	:	MAN LI
Credential	:	PHD
Telephone Number	:	310-497-1335

Provider Enumeration Date	:	05/02/2021
Last Update Date	:	12/09/2025

Similar Medicare Providers

1710154455 — DR. BARBARA BUTLER DDS
Practice Location Address:

28222 AGOURA RD STE 104
AGOURA HILLS, CA
91301-2484

Practice Phone: 818-991-6718
Practice Fax:

1588655112 — XL CARE INC
Practice Location Address:

20350 VENTURA BLVD STE 140
WOODLAND HILLS, CA
91364-2484

Practice Phone: 818-785-2944
Practice Fax: 818-785-2956

1730666876 — MARIYAM SOORMA
Practice Location Address:

8750 TOPANGA CANYON BLVD APT 21
WEST HILLS, CA
91304-2484

Practice Phone: 818-334-7637
Practice Fax:

1053957894 — MICHELLE YUAN CHAO
Practice Location Address:

2484 VIA LA MESA
CHINO HILLS, CA
91709-5000

Practice Phone: 909-472-8191
Practice Fax:

1609739515 — MEDI MOBILE GROUP
Practice Location Address:

29219 CANWOOD ST STE 240
AGOURA HILLS, CA
91301-1590

Practice Phone: 747-315-3813
Practice Fax: 747-315-3823

1891462040 — RILEY NICHOLLE ESCOVER MA LMFT
Practice Location Address:

28216 DOROTHY DR STE 100
AGOURA HILLS, CA
91301-4973

Practice Phone: 323-813-3375
Practice Fax:

Directions to “MALIBU PATHOLOGY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.