1952325565

Everything you always wanted to know about UNIVERSITY PATHOLOGY ASSOCIATES, INC. DR. TAYLOR R. CLIVE but were afraid to ask.

UNIVERSITY PATHOLOGY ASSOCIATES, INC. DR. TAYLOR R. CLIVE

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Organization Name Authorized Official Prefix Authorized Official Last Name Authorized Official Middle Name Authorized Official First Name
UNIVERSITY PATHOLOGY ASSOCIATES, INC. DR. TAYLOR R. CLIVE
Gender:
none
Enumeration date:
2006-07-27
Last update date:
2008-07-24
Current as of:
Is sole proprietor?:
No
Is organization subpart?:
No
In PECOS?:
No

Identifiers

identifier description issuer state
GR0101421 Medicaid none CA
HW7801B Medicare ID-Type Undpecified MEDICARE ID NUMBER CA
LAB28654F Medicaid none CA
807975000 Medicaid none ID
CG4848 Other RAILROAD MEDICARE CA
05D1065390 Other CLIA NUMBER CA
HW7801A Medicare ID-Type Undpecified MEDICARE ID NUMBER CA
LAB39440F Medicaid none CA
05D0939440 Other CLIA NUMBER CA
05D0670053 Other CLIA CA
W7801B Medicare ID-Type Undpecified MEDICARE ID NUMBER CA
W7801 Medicare PIN none CA
05D0058906 Other CLIA CA
CQ2142 Other RAILROAD MEDICARE CA
CH7107 Other RAILROAD MEDICARE CA
05D0928654 Other CLIA ID NUMBER CA
GR0101420 Medicaid none CA

Taxonomies

Taxonomy State License Number Primary?
207ZB0001X Blood Banking & Transfusion Medicine CA 05D0928654 N
207ZC0500X Cytopathology CA 05D0928654 N
207ZD0900X Dermatopathology CA 05D0928654 N
207ZF0201X Forensic Pathology CA 05D0928654 N
207ZH0000X Hematology CA 05D0928654 N
207ZI0100X Immunopathology CA 05D0928654 N
207ZM0300X Medical Microbiology CA 05D0928654 N
207ZN0500X Neuropathology CA 05D0928654 N
207ZP0007X Molecular Genetic Pathology CA 05D0928654 N
207ZP0101X Anatomic Pathology CA 05D0928654 N
207ZP0102X Anatomic Pathology & Clinical Pathology CA 05D0928654 Y
207ZP0104X Chemical Pathology CA 05D0928654 N
207ZP0105X Clinical Pathology/Laboratory Medicine CA 05D0928654 N
207ZP0213X Pediatric Pathology CA 05D0928654 N

Phone Numbers

Type Number
Mailing Address Telephone Number 3234422582
Practice Location Address Telephone Number 3234422582
Mailing Address Fax Number 3234422588
Practice Location Address Fax Number 3234422588
Authorized Official Telephone Number 3234421180

Addresses

Type Address City State Postal Country
Mailing Address 2011 ZONAL AVE SUITE 209 LOS ANGELES CA 90089 CA
Practice Location Address 2011 ZONAL AVE, SUITE 209 LOS ANGELES CA 90089 CA

Other NPI Records that share a phone number

NPI Name Address State City
1003824053 KLIPFEL, NANCY
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1500 SAN PABLO ST CA LOS ANGELES
1104833581 SHERROD, ANDY
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1500 SAN PABLO ST CA LOS ANGELES
1104834142 NICHOLS, PETER
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1441 EASTLAKE AVE CA LOS ANGELES
1104943000 HURTH, KYLE
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1500 SAN PABLO ST CA LOS ANGELES
1114218401 HAGIYA, ASHLEY
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1500 SAN PABLO ST CA LOS ANGELES
1144208182 KIM, GENE
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2011 ZONAL AVE CA LOS ANGELES
1184069825 MATHEW, ANNA
Individual
1450 SAN PABLO STREET CA LOS ANGELES
1225029093 MHAWECH, PAULETTE
Individual
1500 SAN PABLO ST CA LOS ANGELES
1255656831 SIMENTAL-PIZARRO, RAUL
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1500 SAN PABLO STREET CA LOS ANGELES
1356452486 GOVINDARAJAN, SUGANTHA
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1500 SAN PABLO ST CA LOS ANGELES
1386652329 MA, YANLING
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1500 SAN PABLO ST CA LOS ANGELES
1417146879 CHOPRA, SHEFALI
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1500 SAN PABLO ST CA LOS ANGELES
1447266317 WANG, LINA
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1500 SAN PABLO ST CA LOS ANGELES
1457326266 PETROVIC, LIDIJA
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1510 SAN PABLO ST FL 6 CA LOS ANGELES
1518972223 BRYNES, RUSSELL
Individual
2011 ZONAL AVE CA LOS ANGELES
1528497070 HUDGINS, JAY
Individual
1500 SAN PABLO ST CA LOS ANGELES
1548411259 BENDER, ROSEMARY
Individual
1441 EASTLAKE AVENUE CA LOS ANGELES
1558377424 FEDENKO, ALEXANDER
Individual
1500 SAN PABLO ST CA LOS ANGELES
1578570958 SHIBATA, DARRYL
Individual
1441 EASTLAKE AVE CA LOS ANGELES
1629084595 ZEGER, GARY
Individual
1450 SAN PABLO STREET CA LOS ANGELES
1639317340 TATISHCHEV, SERGEI
Individual
1500 SAN PABLO ST CA LOS ANGELES
1659389690 MARTIN, SUE
Individual
1500 SAN PABLO STREET CA LOS ANGELES
1730195603 HINTON, DAVID
Individual
1500 SAN PABLO ST CA LOS ANGELES
1730197781 SIBUG SABER, MARIA
Individual
1500 SAN PABLO ST CA LOS ANGELES
1750398137 SHULMAN, IRA
Individual
1500 SAN PABLO ST CA LOS ANGELES
1801802772 COMMINS, DEBORAH
Individual
1500 SAN PABLO ST CA LOS ANGELES
1821004797 KANEL, GARY
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1510 SAN PABLO ST CA LOS ANGELES
1902812878 BARR, NANCY
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1500 SAN PABLO ST CA LOS ANGELES
1932359494 ELATRE, WAFAA
Individual
1500 SAN PABLO STREET CA LOS ANGELES
1942428800 NELSON, JANICE
Individual
2011 ZONAL AVE STE 209 CA LOS ANGELES
1942473285 SIDDIQI, IMRAN
Individual
2011 ZONAL AVE CA LOS ANGELES
1962416750 XIAO, GUANG-QIAN
Individual
1450 SAN PABLO ST CA LOS ANGELES
1962722686 WANG, YAN
Individual
1100 N STATE ST CA LOS ANGELES
1245245950 CORREA, ADRIAN
Individual
1500 SAN PABLO ST CA LOS ANGELES
1245455542 WARNER, NANCY
Individual
1441 EASTLAKE AVE STE 2424 CA LOS ANGELES
1245482835 DAY, CHRISTINA
Individual
1500 SAN PABLO ST CA LOS ANGELES
1396161980 LARSON, BRENT
Individual
1500 SAN PABLO STREET CA LOS ANGELES
1629158878 SELSTED, MICHAEL E
Individual
2011 ZONAL AVE CA LOS ANGELES

Other NPI Records that share an address

NPI Name Address State City
1053555003 KIM, GRACE
Individual
2011 ZONAL AVE CA LOS ANGELES
1083977607 LEE, TERRENCE
Individual
2011 ZONAL AVE CA LOS ANGELES
1144208182 KIM, GENE
Individual
2011 ZONAL AVE CA LOS ANGELES
1154571420 YI ZHENG
Organization
2011 ZONAL AVE CA LOS ANGELES
1376864793 PIARULLI, DAWN
Individual
2011 ZONAL AVE CA LOS ANGELES
1386941516 QUISMORIO, FRANCISCO
Individual
1200 N STATE ST CA LOS ANGELES
1467658849 UNIVERSITY OF SOUTHERN CALIFOR
Organization
2011 ZONAL AVE CA LOS ANGELES
1518972223 BRYNES, RUSSELL
Individual
2011 ZONAL AVE CA LOS ANGELES
1629158878 SELSTED, MICHAEL E
Individual
2011 ZONAL AVE CA LOS ANGELES
1730346891 STOLZ, ANDREW
Individual
1200 N STATE ST CA LOS ANGELES
1881913689 MARTIN, WILLIAM
Individual
2011 ZONAL AVE CA LOS ANGELES
1902812878 BARR, NANCY
Individual
1500 SAN PABLO ST CA LOS ANGELES
1942473285 SIDDIQI, IMRAN
Individual
2011 ZONAL AVE CA LOS ANGELES

Other NPI Records that share an identifier

NPI Name Address State City Identifier types that matches
1144208182 KIM, GENE
Individual
2011 ZONAL AVE CA LOS ANGELES Identifier: GR0101421 (Medicaid)
Identifier: LAB28654F (Medicaid)
Identifier: CG4848 (Other)
Identifier: GR0101420 (Medicaid)
1013925056 NATHWANI, BHARAT
Individual
1500 DUARTE RD CA DUARTE Identifier: LAB28654F (Medicaid)
1649286519 FELIX, JUAN
Individual
9200 W WISCONSIN AVENUE WI MILWAUKEE Identifier: LAB28654F (Medicaid)
1730195603 HINTON, DAVID
Individual
1500 SAN PABLO ST CA LOS ANGELES Identifier: LAB28654F (Medicaid)
1124167069 CHANDOR, STEBBINS
Individual
2011 ZONAL AVENUE CA LOS ANGELES Identifier: HW7801A (Medicare ID-Type Undpecified)
Identifier: W7801B (Medicare ID-Type Undpecified)
1386652329 MA, YANLING
Individual
1500 SAN PABLO ST CA LOS ANGELES Identifier: W7801 (Medicare PIN)