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888 Morada Pl Altadena CA 91001-2425 | |
(626) 696-3692 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Primary Care |
Location | 888 Morada Pl, Altadena, California |
Authorized Official Name and Position | Khalida A Pathan (PHYSICIAN/SOLE PROPRIETOR) |
Authorized Official Contact | 6266963692 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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888 Morada Pl Altadena CA 91001-2425 Ph: (626) 696-3692 | 888 Morada Pl Altadena CA 91001-2425 Ph: (626) 696-3692 |
NPI Number | 1205287208 |
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Provider Enumeration Date | 06/30/2016 |
Last Update Date | 04/30/2021 |
Identifier | Type | State | Issuer |
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1205287208 | NPI | - | NPPES |