| Pasadena Infectious Diseases And Tropical Medicine Inc | |
|
50 Alessandro Pl Suite 360 Pasadena CA 91105-3149 | |
| (626) 793-6133 | |
| (626) 793-6135 |
| Full Name | Pasadena Infectious Diseases And Tropical Medicine Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 50 Alessandro Pl, Pasadena, California |
| Authorized Official Name and Position | Kimberly A Shriner (PRESIDENT) |
| Authorized Official Contact | 6267936133 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pasadena Infectious Diseases And Tropical Medicine Inc 50 Alessandro Pl Suite 360 Pasadena CA 91105-3149 Ph: (626) 793-6133 | Pasadena Infectious Diseases And Tropical Medicine Inc 50 Alessandro Pl Suite 360 Pasadena CA 91105-3149 Ph: (626) 793-6133 |
| NPI Number | 1205369006 |
|---|---|
| Provider Enumeration Date | 04/07/2017 |
| Last Update Date | 04/07/2017 |
| Medicare PECOS PAC ID | 0648540757 |
|---|---|
| Medicare Enrollment ID | O20170724000650 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205369006 | NPI | - | NPPES |
| 1003926882 | Other | CA | RENDERING NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | A43877 (California) | Primary |
| Provider Name | Kimberly A Shriner |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1003926882 PECOS PAC ID: 3678699626 Enrollment ID: I20100927001296 |
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