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Lysander Jim, M.d. Inc
Clinic/Center in Pasadena, California
NPI 1639619414

Lysander Jim, M.d. Inc is a Clinic/Center based in S Pasadena, CA. Lysander Jim, M.d. Inc practices in Pasadena, CA. The NPI Number for Lysander Jim, M.d. Inc is 1639619414 and holds a License No. 3985886 (California).

The current practice location address for Lysander Jim, M.d. Inc is 452 N Altadena Dr, Pasadena, CA and can be reached out via phone at 626-800-3860. You can also correspond with Lysander Jim, M.d. Inc through the mailing address at 601 CAMINO VERDE, S PASADENA, CA - 91030-4139 (mailing address contact number: 626-800-3860).

Location: 452 N Altadena Dr, Pasadena, CA, 91030-4139
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1639619414
Provider Name
Lysander Jim, M.d. Inc
Credential
Provider Entity Type
Organization
Address
452 N Altadena Dr, Pasadena, CA, 91030-4139
Phone Number
626-800-3860
Fax Number
Provider Enumeration Date
02/27/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
452 N Altadena Dr
City
Pasadena
State
California
Zip
91107-2536
Phone Number
626-800-3860
Fax Number
person
Provider Business Mailing Address Details
Address
601 Camino Verde
City
S Pasadena
State
California
Zip
91030-4139
Phone Number
626-800-3860
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
3985886 (California)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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