OC PATH MEDICAL GROUP
Medical Practice at Newport Ave, Tustin, CA

License number
California 05D0935646
Category
Medical Practice
Type
Anatomic Pathology & Clinical Pathology
Owner
Name: JON P LAKE MD
Title: PRESIDENT
Phone: (714) 827-6701
Address
Address 2
14662 Newport Ave, Tustin, CA 92780
PO Box 10076, Van Nuys, CA 91410
National Provider ID: 1700171501
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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