Basic Information
| Provider Information | |||||||||
| NPI: | 1801905997 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SZABO | ||||||||
| FirstName: | SANDOR | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 17 POINT SUR DR | ||||||||
| Address2: | |||||||||
| City: | CORONA DEL MAR | ||||||||
| State: | CA | ||||||||
| PostalCode: | 926251028 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9497605344 | ||||||||
| FaxNumber: | 9497606151 | ||||||||
| Practice Location | |||||||||
| Address1: | 5901 E 7TH ST | ||||||||
| Address2: | |||||||||
| City: | LONG BEACH | ||||||||
| State: | CA | ||||||||
| PostalCode: | 908225201 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5628265403 | ||||||||
| FaxNumber: | 5628265623 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/30/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207ZP0101X | 43930 | MA | Y | Allopathic & Osteopathic Physicians | Pathology | Anatomic Pathology |
No ID Information.