| John K F Debeixedon Md Inc | |
|
675 Arroyo Parkway Suite 320 Pasadena CA 91105-5067 | |
| (626) 577-9495 | |
| (626) 792-2117 |
| Full Name | John K F Debeixedon Md Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 675 Arroyo Parkway, Pasadena, California |
| Authorized Official Name and Position | John Debeixedon (PRESIDENT) |
| Authorized Official Contact | 6265779495 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| John K F Debeixedon Md Inc Po Box 90067 Pasadena CA 91109-5067 Ph: (626) 577-9495 | John K F Debeixedon Md Inc 675 Arroyo Parkway Suite 320 Pasadena CA 91105-5067 Ph: (626) 577-9495 |
| NPI Number | 1548391287 |
|---|---|
| Provider Enumeration Date | 03/07/2007 |
| Last Update Date | 09/03/2014 |
| Medicare PECOS PAC ID | 0547453078 |
|---|---|
| Medicare Enrollment ID | O20101018000120 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548391287 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A46593 (California) | Primary |
| Provider Name | John Debeixedon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679643126 PECOS PAC ID: 4183817737 Enrollment ID: I20101015000285 |
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