NPI 1336100759

La Good Samaritan Pathology Medical Group, INC.

Organisation Clinical Medical Laboratory Long Beach, CA

Practice location

Address: 2777 Pacific Ave Suite H201& I202, Long Beach, CA 90806-2625
Phone: (562) 981-0100
Fax: (562) 981-0600
Mailing address: 15021 Ventura Blvd. Suite #771, Sherman Oaks, CA 91403-2442

Authorised official

Name: Shahram Khial
Title: President/Owner
Phone: (818) 216-0725

Registered specialties (2)

Clinical Medical Laboratory Primary

Laboratories Taxonomy 291U00000X Licence CLF0001448 (CA)

Other Clinical Medical Laboratory providers in California →

Clinical Medical Laboratory

Laboratories Taxonomy 291U00000X

Registry record

NPI: 1336100759
Entity type: Organization
NPI issued: 28 Mar 2006
Record last updated: 30 Dec 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.