| Pasadena Neuropsychiatry Center A Medical Corporation | |
|
595 E Colorado Blvd Ste 311 Pasadena CA 91101-2021 | |
| (626) 765-6704 | |
| Not Available |
| Full Name | Pasadena Neuropsychiatry Center A Medical Corporation |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 595 E Colorado Blvd Ste 311, Pasadena, California |
| Authorized Official Name and Position | Ron Andrew Shatzmiller (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 6267656704 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pasadena Neuropsychiatry Center A Medical Corporation 595 E Colorado Blvd Ste 602 Pasadena CA 91101-2015 Ph: (626) 765-6704 | Pasadena Neuropsychiatry Center A Medical Corporation 595 E Colorado Blvd Ste 311 Pasadena CA 91101-2021 Ph: (626) 765-6704 |
| NPI Number | 1316403512 |
|---|---|
| Provider Enumeration Date | 02/13/2019 |
| Last Update Date | 09/29/2023 |
| Certification Date | 09/29/2023 |
| Medicare PECOS PAC ID | 6002261856 |
|---|---|
| Medicare Enrollment ID | O20231013001015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316403512 | NPI | - | NPPES |
| Provider Name | Ron A Shatzmiller |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1417152042 PECOS PAC ID: 3274657952 Enrollment ID: I20100901000909 |
| Provider Name | Torang S Sepah |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598901167 PECOS PAC ID: 3577811074 Enrollment ID: I20180731001721 |
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