IndividualActive
Jon Lake, MD
NPI 1295768786 · Cytopathology Physician · Garden Grove, CA
Provider details
- NPI number
- 1295768786
- Entity type
- Individual
- Primary specialty
- Cytopathology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- A84772 (CA)
Practice location
12601 Garden Grove Blvd
Garden Grove, CA 92843-1908
Phone: (714) 741-2765
Fax: (714) 590-2490
Mailing address
Po Box 10076
Van Nuys, CA 91410-0076
Registry dates
- Enumerated
- 2006-07-08
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.