| James I. Wallstrom, M.d., Inc. | |
|
50 Bellefontaine St Ste 205 Pasadena CA 91105-3132 | |
| (626) 792-4115 | |
| (626) 792-3103 |
| Full Name | James I. Wallstrom, M.d., Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 50 Bellefontaine St Ste 205, Pasadena, California |
| Authorized Official Name and Position | James I Wallstrom (PRESIDENT) |
| Authorized Official Contact | 6267924115 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| James I. Wallstrom, M.d., Inc. 50 Bellefontaine St Ste 205 Pasadena CA 91105-3132 Ph: (626) 792-4115 | James I. Wallstrom, M.d., Inc. 50 Bellefontaine St Ste 205 Pasadena CA 91105-3132 Ph: (626) 792-4115 |
| NPI Number | 1881989085 |
|---|---|
| Provider Enumeration Date | 06/15/2011 |
| Last Update Date | 05/16/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881989085 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | G74317 (California) | Primary |
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