PASADENA COLON & RECTAL MED GRP NPI 1508840232

NPI Information

PASADENA COLON & RECTAL MED GRP is a specialist in Pasadena, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. PASADENA COLON & RECTAL MED GRP NPI is 1508840232. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

65 N MADISON AVE
STE 410
PASADENA, CA
ZIP 91101-035
Phone: (626) 795-4261
Fax: (626) 795-1506

The provider's authorized official is Luis Wm Martinez .
The authorized official title is Medical Doctor and has the following contact phone number (626) 795-4261.

The CLIA number assigned to this NPI record is 05D2298429 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/6/2005 and was last updated on 1/27/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.