MADISON 101 PASADENA LLC NPI 1760640338

NPI Information

MADISON 101 PASADENA LLC is an ambulatory surgical clinic center in Pasadena, CA. MADISON 101 PASADENA LLC NPI is 1760640338. The provider is registered as an organization entity type.
The provider Is Doing Business As Madison 101 Pasadena Surgery Center.

The provider's business location address is:

960 E GREEN ST
SUITE 101
PASADENA, CA
ZIP 91106-401
Phone: (626) 793-5134

The provider's authorized official is Michael Stephen Schwartz .
The authorized official title is Owner and has the following contact phone number (626) 793-5134.

The CLIA number assigned to this NPI record is 05D1088550 - ancillary testing site in health care center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/29/2008 and was last updated on 5/29/2008.

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:

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