JACKLIN POLADIAN M.D. INC. NPI 1598033920

NPI Information

  • NPI: 1598033920
  • Provider Name: JACKLIN POLADIAN, M.D., INC.
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Address: 800 FAIRMOUNT AVE STE 420
    PASADENA, CA
    ZIP 91105
  • Phone: (626) 200-4500

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NPI Details

JACKLIN POLADIAN, M.D., INC. is a primary care clinic center in Pasadena, CA. JACKLIN POLADIAN, M.D., INC. NPI is 1598033920. The provider is registered as an organization entity type.

The provider's business location address is:

800 FAIRMOUNT AVE STE 420
PASADENA, CA
ZIP 91105-154
Phone: (626) 200-4500
Fax: (626) 795-0704

The provider's authorized official is Jacklin Poladian .
The authorized official title is Chief Executive Officer and has the following contact phone number (626) 200-4500.

The enumeration date for this NPI number is 12/13/2011 and was last updated on 10/27/2023.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP2300XClinic/CenterPrimary CareA110327CALIFORNIAYes

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: 11/21/2025

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