MISSION PATHOLOGY MEDICAL ASSOCIATES
Medical Laboratory at Medical Center Rd, San Juan Capistrano, CA

License number
California 05D0903813
Category
Medical Laboratory
Type
Clinical Medical Laboratory
Owner
Name: JUSTIN EKUAN M.D.
Title: PRESIDENT
Phone: (949) 364-1400
Address
Address
27700 Medical Center Rd, San Juan Capistrano, CA 92691
National Provider ID: 1649386913
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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MISSION PATHOLOGY MEDICAL ASSOCIATES, INC

27700 Medical Ctr Rd, Mission Viejo, CA 92691

Status:
Inactive
Registration:
Mar 11, 1970
State ID:
C0593696
Business type:
Articles of Incorporation
President:
Justin H. Ekuan (President)
Agent:
Justin Ekuan,Mission Viejo, CA 92691 (Physical)

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