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PASADENA EYE MEDICAL GROUP NPI 1942301395


NPI Information

NPI: 1942301395
Provider Name: PASADENA EYE MEDICAL GROUP
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization

CLIA Number: 05D2176837

Address:
10 CONGRESS ST
STE 340
PASADENA, CA
ZIP 91105
Phone: (626) 796-5325
Get Directions

PASADENA EYE MEDICAL GROUP is a durable medical equipment medical supplies in Pasadena, CA. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. PASADENA EYE MEDICAL GROUP NPI is 1942301395. The provider is registered as an organization entity type.

The provider's business location address is:

10 CONGRESS ST
STE 340
PASADENA, CA
ZIP 91105-023
Phone: (626) 796-5325
Fax: (626) 796-5325

The provider's authorized official is David D Yu .
The authorized official title is General Partner and has the following contact phone number (626) 796-5325.

The CLIA number assigned to this NPI record is 05D2176837 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/26/2006 and was last updated on 5/10/2017.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesYes

Other Identifiers

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

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1A42801MEDICARE UPINCALIFORNIA
2C13148OTHERCALIFORNIARIFFENBURGH CA LIC
300A243881MEDICAIDCALIFORNIA
4F26163OTHERCALIFORNIAYU CA LIC
5G25807OTHERCALIFORNIAWU CA LIC
6A24388OTHERCALIFORNIABOWNS CA LIC
7W2157MEDICARE PINCALIFORNIA
84697820001OTHERCALIFORNIABOWNS DMERC
9F26163MEDICARE UPINCALIFORNIA
10A30219MEDICARE UPINCALIFORNIA
11A23958MEDICARE UPINCALIFORNIA
121094740001MEDICARE NSCCALIFORNIA
13ZZZ79446ZMEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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