NEWPORT COAST PATHOLOGY, INC.
Medical Laboratory at Clermont, Newport Beach, CA

License number
California G74263
Category
Medical Laboratory
Type
Clinical Medical Laboratory
Owner
Name: DR. MANI EHTESHAMI M.D., M.S.
Title: MEDICAL DIRECTOR AND PRESIDENT
Phone: (888) 463-3606
Address
Address
27 Clermont, Newport Beach, CA 92657
National Provider ID: 1922325877
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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NEWPORT COAST PATHOLOGY, INC

Newport Beach, CA  -  Irvine, CA

Industry:
Medical Laboratory
Registration:
Feb 23, 2010
Addresses:
PO Box 12785, Newport Beach, CA 92658 (Physical)
213 Technology Dr, Irvine, CA 92618
27 Clermont, Newport Beach, CA 92657
State ID:
C3280565
Business type:
Articles of Incorporation
President:
Mani Ehteshami (President)

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