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PASADENA PELLET THERAPY INC. NPI 1831416734


NPI Information

NPI: 1831416734
Provider Name: PASADENA PELLET THERAPY, INC.
Classification: Clinic/Center - 261QM2500X
Entity Type: Organization

Specialization: Medical Specialty

CLIA Number: 05D0725734

Address:
625 S FAIR OAKS AVE
SUITE 255
PASADENA, CA
ZIP 91105
Phone: (626) 304-2626
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PASADENA PELLET THERAPY, INC. is a medical specialty clinic center in Pasadena, CA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). PASADENA PELLET THERAPY, INC. NPI is 1831416734. The provider is registered as an organization entity type.

The provider's business location address is:

625 S FAIR OAKS AVE
SUITE 255
PASADENA, CA
ZIP 91105-613
Phone: (626) 304-2626
Fax: (626) 585-0695

The provider's authorized official is Bryan Jick .
The authorized official title is President and has the following contact phone number (626) 304-2626.

The CLIA number assigned to this NPI record is 05D0725734 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/1/2010 and was last updated on 10/31/2010.


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
1261QM2500XClinic/CenterMedical SpecialtyYes

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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