| Nationwide Medical Group, Inc | |
|
1450 N Lake Ave Ste 150 Pasadena CA 91104-2301 | |
| (626) 794-1161 | |
| (626) 794-6071 |
| Full Name | Nationwide Medical Group, Inc |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 1450 N Lake Ave Ste 150, Pasadena, California |
| Authorized Official Name and Position | George Girgis (DIRECTOR) |
| Authorized Official Contact | 6618619967 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nationwide Medical Group, Inc 7246 Remmet Ave Canoga Park CA 91303-1531 Ph: (818) 206-0360 | Nationwide Medical Group, Inc 1450 N Lake Ave Ste 150 Pasadena CA 91104-2301 Ph: (626) 794-1161 |
| NPI Number | 1114074507 |
|---|---|
| Provider Enumeration Date | 01/05/2007 |
| Last Update Date | 10/03/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114074507 | NPI | - | NPPES |
| GR008716I | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
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