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NPI Code Detail

MEDICARE: PATHOLOGY ASSOCIATES OF VALENCIA

MEDICARE: PATHOLOGY ASSOCIATES OF VALENCIA
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
1207ZP0102XAnatomic Pathology & Clinical Pathology Physician

General Provider Information

NPI Number : 1427042001
Entity Type Code : Organization
Provider Name (Legal Business Name) : PATHOLOGY ASSOCIATES OF VALENCIA
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 : 23845 MCBEAN PKWY
Second Line :
City : VALENCIA
State : CA
Zip : 91355-2001
Country : US
Telephone Number : 661-253-8504
Fax Number : 661-253-8647
Authorized Official
Title or Position : MANAGING PARTNER
Name : PARAKRAMA T CHANDRASOMA
Credential : M.D.
Telephone Number : 661-253-8504
Provider Enumeration Date : 09/09/2005
Last Update Date : 08/22/2020

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Directions to “PATHOLOGY ASSOCIATES OF VALENCIA ” Practice Location

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