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PASADENA LASER & SURGERY CENTER NPI 1013993252


NPI Information

NPI: 1013993252
Provider Name: PASADENA LASER & SURGERY CENTER

Doing Business As: PASEDENA LASER & SURGERY CENTER

Classification: Pain Medicine - 208VP0014X
Entity Type: Organization

Specialization: Interventional Pain Medicine

CLIA Number: 05D2029202

Address:
960 E GREEN ST
SUITE 110
PASADENA, CA
ZIP 91106
Phone: (626) 294-4866
Get Directions

PASADENA LASER & SURGERY CENTER is an interventional pain medicine pain medicine in Pasadena, CA. The provider is interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. PASADENA LASER & SURGERY CENTER NPI is 1013993252. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Pasedena Laser & Surgery Center.

The provider's business location address is:

960 E GREEN ST
SUITE 110
PASADENA, CA
ZIP 91106-401
Phone: (626) 294-4866
Fax: (626) 294-4872

The provider's authorized official is Bernadette A Clifford .
The authorized official title is Coo and has the following contact phone number (626) 294-4866.

The CLIA number assigned to this NPI record is 05D2029202 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/20/2005 and was last updated on 8/22/2020.


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
1208VP0014XPain MedicineInterventional Pain MedicineA53113CALIFORNIAYes

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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