| Jason K Boutros M D Inc | |
|
2750 E Washington Blvd Suite 260 Pasadena CA 91107-1448 | |
| (626) 798-8923 | |
| (626) 798-0258 |
| Full Name | Jason K Boutros M D Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2750 E Washington Blvd, Pasadena, California |
| Authorized Official Name and Position | Cindy Chon (ADMINISTRATOR) |
| Authorized Official Contact | 6267988923 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jason K Boutros M D Inc 2750 E Washington Blvd Suite 260 Pasadena CA 91107-1448 Ph: (626) 798-8923 | Jason K Boutros M D Inc 2750 E Washington Blvd Suite 260 Pasadena CA 91107-1448 Ph: (626) 798-8923 |
| NPI Number | 1053532580 |
|---|---|
| Provider Enumeration Date | 05/01/2007 |
| Last Update Date | 01/28/2011 |
| Medicare PECOS PAC ID | 4284539594 |
|---|---|
| Medicare Enrollment ID | O20031201000293 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053532580 | NPI | - | NPPES |
| GR0076360 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A42891 (California) | Primary |
| Provider Name | Jason K Boutros |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942243563 PECOS PAC ID: 5496656241 Enrollment ID: I20040120000580 |
Artin Nazarian Md A Professional Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 625 S Fair Oaks Ave, 215, Pasadena, CA 91105 Phone: 626-344-0039 Fax: 626-397-2968 | |
Ruth Pilpa Tiongson Md Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2520 Las Lunas St, Pasadena, CA 91107 Phone: 818-683-8721 | |
The Leela Integrative Medicine Center, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 50 Bellefontaine St, 307, Pasadena, CA 91105 Phone: 626-795-0411 Fax: 626-795-0080 | |
Arbis Rojas Md Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 950 S Arroyo Pkwy Fl 3, Pasadena, CA 91105 Phone: 626-584-1919 Fax: 626-228-0695 | |
Huntington Family Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 301 S Fair Oaks Ave, Ste #405, Pasadena, CA 91105 Phone: 626-792-1912 Fax: 626-792-1960 | |
Hany K. Zaki,m.d,inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 150 N Hill Ave, Pasadena, CA 91106 Phone: 626-564-9758 Fax: 626-564-9104 | |
Lori J. Wynstock, M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 50 Bellefontaine St, #203, Pasadena, CA 91105 Phone: 626-793-6113 Fax: 626-793-8013 |