| Pasadena Id, Inc. | |
|
50 Alessandro Pl Suite 360 Pasadena CA 91105-3149 | |
| (626) 793-6133 | |
| (626) 793-6135 |
| Full Name | Pasadena Id, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 50 Alessandro Pl, Pasadena, California |
| Authorized Official Name and Position | David G Man (CEO) |
| Authorized Official Contact | 3233408845 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pasadena Id, Inc. 254 Camino Del Sol South Pasadena CA 91030-3529 Ph: (323) 340-8845 | Pasadena Id, Inc. 50 Alessandro Pl Suite 360 Pasadena CA 91105-3149 Ph: (626) 793-6133 |
| NPI Number | 1841496163 |
|---|---|
| Provider Enumeration Date | 06/24/2007 |
| Last Update Date | 04/28/2010 |
| Medicare PECOS PAC ID | 4082799523 |
|---|---|
| Medicare Enrollment ID | O20080308000112 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841496163 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
| Provider Name | David Gee Man |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1366450637 PECOS PAC ID: 8628153160 Enrollment ID: I20080417000713 |
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