MEMORIAL PATHOLOGY MEDICAL GROUP INC (NPI# 1477515500) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477515500 |
| Entity Type | Organization |
| Organization Name | MEMORIAL PATHOLOGY MEDICAL GROUP INC |
| Practice Address |
3828 Delmas Ter Culver City CA 90232-2713 |
| Mailing Address |
Po Box 10076 Van Nuys CA 91410-0076 |
| Practice Telephone | 3108367000 |
| Practice Fax Number | 3108153107 |
| Mailing Telephone | 8055788300 |
| Mailing Fax Number | 8055788950 |
| Enumeration Date | 2006-04-04 |
| Last Update Date | 2013-01-17 |
| Authorized Official Name | WILLIAM POWER (LABORATORY DIRECTOR) |
| Authorized Official Telephone | 3108367000 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0016480 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932438140 | Memorial Pathology Medical Group Inc | Pathology | 14900 Imperial Hwy, La Mirada, CA 90638-2172 | 2009-12-17 |
| 1265685036 | Memorial Pathology Medical Group Inc | Clinical Medical Laboratory | 3828 Hughes Ave, Culver City, CA 90232-2716 | 2008-10-24 |
| 1427010586 | Memorial Pathology Medical Group Inc | Pathology | 1145 W Redondo Beach Blvd, Gardena, CA 90247-3528 | 2006-04-04 |
| Street Address |
3828 DELMAS TER |
| City | CULVER CITY |
| State | CA |
| Zip Code | 90232-2713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235137712 | Robert Rosenbloom | Emergency Medicine | 3828 Delmas Ter, Culver City, CA 90232-2713 | 2005-07-08 |
| 1528687928 | Josephine Hunt-korn | Physical Therapist | 3828 Delmas Ter, Culver City, CA 90232-2713 | 2020-04-15 |
| 1679109862 | Emily Rueter | Occupational Therapist | 3828 Delmas Ter, Culver City, CA 90232-2713 | 2020-03-19 |
| 1952946956 | Amelle Joseph Baptiste Porter | Psychiatry & Neurology | 3828 Delmas Ter, Culver City, CA 90232-2713 | 2019-11-13 |
| 1235601642 | Michael Yee | Pharmacist | 3828 Delmas Ter, Culver City, CA 90232-2713 | 2018-12-23 |
| 1518465061 | Jill Chang | Pharmacist | 3828 Delmas Ter, Culver City, CA 90232-2713 | 2018-01-30 |
| 1497290092 | Teresa Lo | Pharmacist | 3828 Delmas Ter, Culver City, CA 90232-2713 | 2017-01-05 |
| 1124498571 | Khatoun Yazdannejad | Registered Nurse | 3828 Delmas Ter, Culver City, CA 90232-2713 | 2015-09-29 |
| 1104203231 | Phuong Tran | General Acute Care Hospital | 3828 Delmas Ter, Culver City, CA 90232-2713 | 2015-04-27 |
| 1053704668 | Olen Henry | Registered Nurse | 3828 Delmas Ter, Culver City, CA 90232-2713 | 2015-03-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306328430 | Kayla Brass | Physical Therapist | 11056 Washington Blvd Suite C, Culver City, CA 90232 | 2018-09-05 |
| 1861911265 | Caitlyn Handy | Social Worker | 4194 Duquesne Ave, Apt 2, Culver City, CA 90232 | 2017-09-17 |
| 1639695109 | Ashlyn Herrian | Student in an Organized Health Care Education/Training Program | 9808 Venice Blvd., Ste. 505, Culver City, CA 90232 | 2017-08-16 |
| 1922522911 | Kendra Lopez | Rehabilitation Practitioner | 9808 Venice Blvd Suite 700, Culver City, CA 90232 | 2017-08-01 |
| 1740677335 | Michelle Adams | Psychologist | 10866 Washington Blvd #718, Culver City, CA 90232 | 2015-04-21 |
| 1164814976 | Alexander Gersh | Speech-Language Pathologist | 3844 Culver Ctr Ste B, Culver City, CA 90232 | 2015-03-03 |
| 1497161145 | Anila Ladak | Nurse Practitioner | 3828 Delmos Ter, Southern California Hospital At Culver City, Culver City, CA 90232 | 2014-07-02 |
| 1235554908 | Rochelle Skinner Dds Dental Corporation | Dentist | 9702 Venice Blvd, Suite B, Culver City, CA 90232 | 2014-03-04 |
| 1316361173 | Krisena Borenstein | Dentist | 10811 Washington Blvd. Suite #200, Culver City, CA 90232 | 2014-02-13 |
| 1154689925 | Lawrence S Levy | Physical Therapist | 11479 Jefferson Blvd, Culver City, CA 90232 | 2012-04-30 |
| Find all providers in zip 90232 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295737476 | Emanuel M Abrams | Pathology | 3828 Hughes Ave, Culver City, CA 90232-2716 | 2005-06-01 |
| 1285995183 | Cyrus Daniel Oster | Pathology | 3828 Hughes Ave, Culver City, CA 90232 | 2012-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063058170 | Paragon Diagnostics San Francisco | Pathology | 900 Hyde St Fl 1, San Francisco, CA 94109-4806 | 2019-11-24 |
| 1669034518 | Diagnostic Pathology Medical Group Inc | Pathology | 2801 K St Ste 235, Sacramento, CA 95816-5170 | 2019-07-01 |
| 1093277956 | Shajia Rahman Ansari | Pathology | 38558 Vancouver Cmn, Fremont, CA 94536-4056 | 2019-04-01 |
| 1831655158 | Rana Richeh | Pathology | 12 Spectrum Pointe Dr, Lake Forest, CA 92630-2242 | 2019-02-11 |
| 1710457510 | University of California Sfgh Medical Group | Pathology | 1001 Potrero Ave Rm 2m14, San Francisco, CA 94110-3518 | 2018-12-05 |
| 1770053233 | Samuel Jason Guzman | Pathology | 10026 Karmont Ave, South Gate, CA 90280-5417 | 2018-11-27 |
| 1144799750 | Penguin Medical Group, Inc | Pathology | 11 W Del Mar Blvd Ste 201, Pasadena, CA 91105-2593 | 2018-11-13 |
| 1023596731 | Uc San Diego, Pathology Dept | Pathology | East Campus Office Building, Medical Center Dr, San Diego, CA 92037 | 2018-08-03 |
| 1972080752 | Boris Shlopov Md Pathology Medical Corporation | Pathology | 800 S Main, Corona, CA 92882 | 2018-07-24 |
| 1902383920 | Ntr Resources, LLC | Pathology | 17433 Nordhoff, Northridge, CA 91325 | 2018-07-23 |
| Find all providers with the same taxonomy | ||||
| City | CULVER CITY |
| Zip Code | 90232 |
Please comment or provide details below to improve the information on MEMORIAL PATHOLOGY MEDICAL GROUP INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.