Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Interscope Pathology Medical Group Inc

Organization Anatomic Pathology & Clinical Pathology Physician · NPI 1104830074

Interscope Pathology Medical Group Inc is an Anatomic Pathology & Clinical Pathology Physician in Westlake Village, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

30700 Russell Ranch Rd Ste 250 Unit 235
Westlake Village, CA 91362-5907
Phone: (818) 992-7848
Fax: (818) 992-7748
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence 05D0700248 (CA)

Record details

NPI number1104830074
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bryan Lin — Treasuer/President · (818) 992-7848
NPI enumeratedJuly 28, 2006
Last updated in NPPESJanuary 5, 2026
Certification dateJanuary 5, 2026
Mailing address30700 Russell Ranch Rd Ste 250, Westlake Village, CA 91362-9507

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