Dr Pamela Clark, MD | |
800 Fairmont Ave, Pasadena, CA 91105-3154 | |
(626) 449-8440 | |
(626) 449-8999 |
Full Name | Dr Pamela Clark |
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Gender | Female |
Speciality | Pediatrics |
Location | 800 Fairmont Ave, Pasadena, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154634483 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | BP10037144 (Texas) | Secondary |
208000000X | Pediatrics | A127834 (California) | Primary |
Entity Name | Childrens Hospital Los Angeles Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265530653 PECOS PAC ID: 0143126920 Enrollment ID: O20031211000522 |
Entity Name | The Regents Of The University Of California |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235107566 PECOS PAC ID: 1355248584 Enrollment ID: O20031223000439 |
Mailing Address | Practice Location Address |
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Dr Pamela Clark, MD 5767 W Century Blvd Ste 400, Los Angeles, CA 90045-5631 Ph: () - | Dr Pamela Clark, MD 800 Fairmont Ave, Pasadena, CA 91105-3154 Ph: (626) 449-8440 |
Susan A. Perez, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1855 N Fair Oaks Ave, Pasadena, CA 91103 Phone: 626-398-6300 | |
Dr. Ruby Batin, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 800 Fairmount Ave, Ste 110, Pasadena, CA 91105 Phone: 626-795-7051 | |
Dr. James M. Duvall, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 504 S Sierra Madre Blvd, Pasadena, CA 91107 Phone: 626-795-8811 Fax: 626-795-0953 | |
Dr. Leslie Allyson Richard, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1136 Wotkyns Dr, Pasadena, CA 91103 Phone: 626-683-0866 | |
Sandra Greenberg, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 960 E Green St, Suite 109, Pasadena, CA 91106 Phone: 626-449-6700 | |
Sabrina Perrino, Pediatrics Medicare: Medicare Enrolled Practice Location: 393 E Walnut Street Pasadena Ca 91188, Pasadena, CA 91188 Phone: 877-608-0044 | |
Brian Wong, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 630 S Raymond Ave Unit 310, Pasadena, CA 91105 Phone: 626-598-3770 Fax: 626-598-3797 |