Alta Anatomic Pathology Medical Group in Van Nuys - Anatomic Pathology & Clinical Pathology
Alta Anatomic Pathology Medical Group - NPI 1720057367
Alta Anatomic Pathology Medical Group is a Anatomic Pathology & Clinical Pathology in Van Nuys, California. Alta Anatomic Pathology Medical Group practices all healthcare services and medical treatments related to Anatomic Pathology & Clinical Pathology. The NPI Number for Alta Anatomic Pathology Medical Group is 1720057367. The last update date is 2020-08-22.
Alta Anatomic Pathology Medical Group's current location address is Po Box 10076, Van Nuys, California. You can contact this provider via phone number 8055788300 and fax number 8055788950. The mailing address for Alta Anatomic Pathology Medical Group is Po Box 10076, Van Nuys, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Alta Anatomic Pathology Medical Group |
|---|---|
| Address | Po Box 10076, Van Nuys, California |
| Phone Number | 8055788300 |
| Fax Number | 8055788950 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Burke S Jerome |
| Credentials | M.D. |
| Telephone Number | 5102041642 |
NPI Number Detail
| NPI Number | 1720057367 |
|---|---|
| Provider Enumeration Date | 2006-03-16 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | Po Box 10076 |
|---|---|
| City | Van Nuys |
| State | California (CA) |
| Post Code | 914100076 |
| Phone Number | 8055788300 |
| Fax Number | 8055788950 |
Provider's Primary Taxonomy Detail
| Speciality | Anatomic Pathology & Clinical Pathology |
|---|---|
| Taxonomy | 207Zp0102X |
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Definition: 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 gat |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| GR0022700 | CA | DHS MEDI-CAL |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Alta Anatomic Pathology Medical Group by the Centers for Medicare & Medicaid Services?
The Alta Anatomic Pathology Medical Group has been issued the NPI (National Provider Identifier) 1720057367 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Alta Anatomic Pathology Medical Group's physical address?
The Alta Anatomic Pathology Medical Group is physically located at Po Box 10076, in the city of Van Nuys, CA, with the postal code 914100076.
What is Alta Anatomic Pathology Medical Group's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Alta Anatomic Pathology Medical Group is Anatomic Pathology & Clinical Pathology, and the corresponding taxonomy classification code for this specialized field is 207Zp0102X.
On what date did the Alta Anatomic Pathology Medical Group receive the assignment of its 1720057367 from the Centers for Medicare & Medicaid Services?
The Alta Anatomic Pathology Medical Group was issued its 1720057367 by the Centers for Medicare & Medicaid Services on 2006-03-16.
As of what date was the information pertaining to Alta Anatomic Pathology Medical Group, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Alta Anatomic Pathology Medical Group, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.