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 provides Anatomic Pathology & Clinical Pathology Physician services 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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