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PASADENA ADVANCED SURGERY INSTITUTE NPI 1629231782


NPI Information

NPI: 1629231782
Provider Name: PASADENA ADVANCED SURGERY INSTITUTE
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 05D1077011

Address:
1044 S FAIR OAKS AVE
SUITE 110
PASADENA, CA
ZIP 91105
Phone: (626) 768-4422
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PASADENA ADVANCED SURGERY INSTITUTE is an ambulatory surgical clinic center in Pasadena, CA. PASADENA ADVANCED SURGERY INSTITUTE NPI is 1629231782. The provider is registered as an organization entity type.

The provider's business location address is:

1044 S FAIR OAKS AVE
SUITE 110
PASADENA, CA
ZIP 91105-622
Phone: (626) 768-4422
Fax: (626) 768-4421

The provider's authorized official is Valerie Kwan .
The authorized official title is Administrator and has the following contact phone number (626) 768-4422.

The CLIA number assigned to this NPI record is 05D1077011 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/8/2008 and was last updated on 7/8/2008.


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
1261QA1903XClinic/CenterAmbulatory SurgicalYes

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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