Provider Demographics
NPI:1790052256
Name:Y&Z WESTWOOD SURGICAL PATHOLOGY LAB INC
Entity Type:Organization
Organization Name:Y&Z WESTWOOD SURGICAL PATHOLOGY LAB INC
Other - Org Name:NO OTHER NAME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF THE LAB
Authorized Official - Prefix:DR
Authorized Official - First Name:AZRA
Authorized Official - Middle Name:OZZIE
Authorized Official - Last Name:ZARRINPAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:310-273-1589
Mailing Address - Street 1:1700 WESTWOOD BLVD
Mailing Address - Street 2:SECOND FLOOR SUITE E
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90024-5608
Mailing Address - Country:US
Mailing Address - Phone:310-234-6600
Mailing Address - Fax:310-234-6604
Practice Address - Street 1:1700 WESTWOOD BLVD
Practice Address - Street 2:SECOND FLOOR SUITE E
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90024-5608
Practice Address - Country:US
Practice Address - Phone:310-234-6600
Practice Address - Fax:310-234-6604
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ORGANIZATION IS THE FIRST TIME
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-11-28
Last Update Date:2011-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA87800291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAI 16264Medicare UPIN