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NPI Code Detail

MEDICARE: PLACENTIA PATHOLOGY MEDICAL GROUP

MEDICARE: PLACENTIA PATHOLOGY MEDICAL GROUP
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 Physician
2207ZP0102XAnatomic Pathology & Clinical Pathology Physician

Other Identifiers

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

General Provider Information

NPI Number : 1881654770
Entity Type Code : Organization
Provider Name (Legal Business Name) : PLACENTIA PATHOLOGY MEDICAL GROUP
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 : 2601 E CHAPMAN AVE
Second Line :
City : ORANGE
State : CA
Zip : 92869-3206
Country : US
Telephone Number : 714-633-0011
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : YUNOYO SOHN
Credential : MD
Telephone Number : 714-633-0011
Provider Enumeration Date : 03/24/2006
Last Update Date : 09/11/2025

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Directions to “PLACENTIA PATHOLOGY MEDICAL GROUP ” Practice Location

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