| The De Brito Professional Medical Corporation | |
|
751 N Fair Oaks Ave 301 Pasadena CA 91103-3069 | |
| (626) 405-4001 | |
| (818) 301-7443 |
| Full Name | The De Brito Professional Medical Corporation |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 751 N Fair Oaks Ave, Pasadena, California |
| Authorized Official Name and Position | Dirk De Brito (PRESIDENT) |
| Authorized Official Contact | 3107170069 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The De Brito Professional Medical Corporation Po Box 247 Pasadena CA 91102-0247 Ph: (626) 405-4001 | The De Brito Professional Medical Corporation 751 N Fair Oaks Ave 301 Pasadena CA 91103-3069 Ph: (626) 405-4001 |
| NPI Number | 1790098978 |
|---|---|
| Provider Enumeration Date | 07/16/2010 |
| Last Update Date | 01/25/2017 |
| Medicare PECOS PAC ID | 4688619141 |
|---|---|
| Medicare Enrollment ID | O20100920000548 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790098978 | NPI | - | NPPES |
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