OC PATH MEDICAL GROUP
Medical Practice at Ball Rd, Anaheim, CA

License number
California 05D0582538
Category
Medical Practice
Type
Cytopathology
License number
California 05D0582538
Category
Medical Practice
Type
Anatomic Pathology & Clinical Pathology
Owner
Name: JON P LAKE MD
Title: PRESIDENT
Phone: (714) 633-0011
Address
Address 2
3350 W Ball Rd, Anaheim, CA 92804
PO Box 10076, Van Nuys, CA 91410
National Provider ID: 1235469685
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

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