institution
Pasadena Primary Care Inc
General Practice Physician in Pasadena, California
NPI 1679614648

Pasadena Primary Care Inc is a General Practice Physician based in Pasadena, CA. Pasadena Primary Care Inc practices in Pasadena, CA. The NPI Number for Pasadena Primary Care Inc is 1679614648 and holds a License No. A44253 (California).

The current practice location address for Pasadena Primary Care Inc is 1403 N Fair Oaks Ave, Pasadena, CA and can be reached out via phone at 626-797-4477 and via fax at 626-797-4471. You can also correspond with Pasadena Primary Care Inc through the mailing address at 1403 N FAIR OAKS AVE, PASADENA, CA - 91103-1858 (mailing address contact number: 626-797-4477).

Location: 1403 N Fair Oaks Ave, Pasadena, CA, 91103-1858
institution
Provider Profile Details
NPI Number
1679614648
Provider Name
Pasadena Primary Care Inc
Credential
Provider Entity Type
Organization
Address
1403 N Fair Oaks Ave, Pasadena, CA, 91103-1858
Phone Number
626-797-4477
Fax Number
626-797-4471
Provider Enumeration Date
02/10/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00A442532 05 CA
00A442530 01 CA BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
1403 N Fair Oaks Ave
City
State
Zip
91103-1858
Phone Number
626-797-4477
Fax Number
626-797-4471
person
Provider Business Mailing Address Details
Address
1403 N Fair Oaks Ave
City
State
Zip
91103-1858
Phone Number
626-797-4477
Fax Number
626-797-4471
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
A44253 (California)
Definition
Definition to come...
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