| Huntington Healthcare | |
|
800 Fairmount Ave Ste 410 Pasadena CA 91105-3154 | |
| (626) 535-0900 | |
| (626) 389-5479 |
| Full Name | Huntington Healthcare |
|---|---|
| Speciality | Clinic/Center |
| Location | 800 Fairmount Ave Ste 410, Pasadena, California |
| Authorized Official Name and Position | Shunpei Iwata (MEDICAL DIRECTOR) |
| Authorized Official Contact | 6265350900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Huntington Healthcare 2275 Huntington Dr #861 San Marino CA 91108-2640 Ph: (626) 535-0900 | Huntington Healthcare 800 Fairmount Ave Ste 410 Pasadena CA 91105-3154 Ph: (626) 535-0900 |
| NPI Number | 1477797306 |
|---|---|
| Provider Enumeration Date | 04/22/2009 |
| Last Update Date | 08/27/2021 |
| Medicare PECOS PAC ID | 5395895486 |
|---|---|
| Medicare Enrollment ID | O20090611000219 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477797306 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | A95845 (California) | Primary |
| Provider Name | Shunpei Iwata |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396931309 PECOS PAC ID: 8325117583 Enrollment ID: I20080514000697 |
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