| Pch Pasadena, Llc | |
|
2400 Mission St San Marino CA 91108-1632 | |
| (310) 566-7625 | |
| Not Available |
| Full Name | Pch Pasadena, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2400 Mission St, San Marino, California |
| Authorized Official Name and Position | Terry Krekorian (PRESIDENT) |
| Authorized Official Contact | 3109632059 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pch Pasadena, Llc 11965 Venice Blvd Ste 202 Los Angeles CA 90066-3954 Ph: (310) 566-7625 | Pch Pasadena, Llc 2400 Mission St San Marino CA 91108-1632 Ph: (310) 566-7625 |
| NPI Number | 1699220145 |
|---|---|
| Provider Enumeration Date | 08/24/2016 |
| Last Update Date | 08/24/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699220145 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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