| Ellen Mcdonald, M.d., Inc. | |
|
800 Fairmount Ave Suite 210 Pasadena CA 91105-3150 | |
| (626) 872-4195 | |
| (626) 628-1836 |
| Full Name | Ellen Mcdonald, M.d., Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 800 Fairmount Ave, Pasadena, California |
| Authorized Official Name and Position | Ellen Kathleen Mcdonald (PRESIDENT) |
| Authorized Official Contact | 6268724195 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ellen Mcdonald, M.d., Inc. 800 Fairmount Ave Suite 210 Pasadena CA 91105-3150 Ph: (626) 872-4195 | Ellen Mcdonald, M.d., Inc. 800 Fairmount Ave Suite 210 Pasadena CA 91105-3150 Ph: (626) 872-4195 |
| NPI Number | 1639304843 |
|---|---|
| Provider Enumeration Date | 05/18/2009 |
| Last Update Date | 12/02/2010 |
| Medicare PECOS PAC ID | 8224188354 |
|---|---|
| Medicare Enrollment ID | O20090827000000 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639304843 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A102543 (California) | Primary |
| Provider Name | Ellen Mcdonald |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679751408 PECOS PAC ID: 3779633805 Enrollment ID: I20090611000574 |
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