Geriatrix, Inc | |
155 N Lake Ave Suite 800 Pasadena CA 91101-1849 | |
(714) 461-1419 | |
Not Available |
Full Name | Geriatrix, Inc |
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Speciality | Family Medicine |
Location | 155 N Lake Ave, Pasadena, California |
Authorized Official Name and Position | Estelei A Penuliar (PRESIDENT) |
Authorized Official Contact | 7144611419 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Geriatrix, Inc 155 N Lake Ave Suite 800 Pasadena CA 91101-1849 Ph: (714) 461-1419 | Geriatrix, Inc 155 N Lake Ave Suite 800 Pasadena CA 91101-1849 Ph: (714) 461-1419 |
NPI Number | 1538576806 |
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Provider Enumeration Date | 07/17/2014 |
Last Update Date | 07/17/2014 |
Identifier | Type | State | Issuer |
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1538576806 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 4941 (California) | Primary |
363LF0000X | Nurse Practitioner - Family | 15421 (California) | Secondary |
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