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NPI Code Detail

MEDICARE: LOREN R AYRES M.D.

MEDICARE: LOREN R AYRES M.D.
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
1207ZC0500XCytopathology PhysicianA23918CA
2207ZP0102XAnatomic Pathology & Clinical Pathology PhysicianA23918CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
100A239180OTHERCADHS PPIN

General Provider Information

NPI Number : 1184693301
Entity Type Code : Individual
Provider Name (Legal Business Name) : LOREN R AYRES M.D.
Provider Business Mailing Address
First Line : PO BOX 10076
Second Line :
City : VAN NUYS
State : CA
Zip : 91410-0076
Country : US
Telephone Number : 805-578-8300
Fax Number : 805-578-8950
Provider Business Practice Location Address
First Line : 300 W HUNTINGTON DR
Second Line :
City : ARCADIA
State : CA
Zip : 91007-3402
Country : US
Telephone Number : 626-445-4441
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/17/2006
Last Update Date : 09/11/2025

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Directions to “ LOREN R AYRES M.D.” Practice Location

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