| Lisa P. Uribe, M.d., Inc. | |
|
800 Fairmount Ave Suite 210 Pasadena CA 91105-3150 | |
| (626) 243-2221 | |
| Not Available |
| Full Name | Lisa P. Uribe, M.d., Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 800 Fairmount Ave, Pasadena, California |
| Authorized Official Name and Position | Lisa Uribe (PRESIDENT) |
| Authorized Official Contact | 6262432221 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa P. Uribe, M.d., Inc. 800 Fairmount Ave Suite 210 Pasadena CA 91105-3150 Ph: () - | Lisa P. Uribe, M.d., Inc. 800 Fairmount Ave Suite 210 Pasadena CA 91105-3150 Ph: (626) 243-2221 |
| NPI Number | 1164766093 |
|---|---|
| Provider Enumeration Date | 11/15/2012 |
| Last Update Date | 01/05/2019 |
| Medicare PECOS PAC ID | 8527212208 |
|---|---|
| Medicare Enrollment ID | O20130205000147 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164766093 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A97604 (California) | Primary |
| Provider Name | Lisa P Uribe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770762528 PECOS PAC ID: 4385713601 Enrollment ID: I20080513000247 |
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