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SETHIAN MD INC NPI 1609184142


NPI Information

NPI: 1609184142
Provider Name: SETHIAN MD, INC

Doing Business As: NUBAR SETHIAN, M.D.

Classification: General Practice - 208D00000X
Entity Type: Organization

CLIA Number: 05D0556026

Address:
1028 N LAKE AVE STE 103
PASADENA, CA
ZIP 91104
Phone: (626) 797-3378
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SETHIAN MD, INC is a general practice in Pasadena, CA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee SETHIAN MD, INC NPI is 1609184142. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Nubar Sethian, M.d..

The provider's business location address is:

1028 N LAKE AVE STE 103
PASADENA, CA
ZIP 91104-570
Phone: (626) 797-3378
Fax: (626) 797-4812

The provider's authorized official is Nubar Aram Sethian .
The authorized official title is Presidant and has the following contact phone number (626) 797-3378.

The CLIA number assigned to this NPI record is 05D0556026 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/17/2010 and was last updated on 9/17/2010.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineCALIFORNIANo
2208D00000XGeneral PracticeYes

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
1E98032MEDICARE UPINCALIFORNIA
200A44867MEDICAIDCALIFORNIA
3A44867MEDICARE PINCALIFORNIA

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: 4/28/2024

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