| Sierra Spring Family Wellness Center | |
|
960 E Green St Suite 292 Pasadena CA 91106-2401 | |
| (626) 449-4494 | |
| (626) 449-4474 |
| Full Name | Sierra Spring Family Wellness Center |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 960 E Green St, Pasadena, California |
| Authorized Official Name and Position | Craig Russell Johnson (PRESIDENT, CRAIG R. JOHNSON MD INC) |
| Authorized Official Contact | 6264494494 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sierra Spring Family Wellness Center 960 E Green St Suite 292 Pasadena CA 91106-2401 Ph: (626) 449-4494 | Sierra Spring Family Wellness Center 960 E Green St Suite 292 Pasadena CA 91106-2401 Ph: (626) 449-4494 |
| NPI Number | 1487788899 |
|---|---|
| Provider Enumeration Date | 03/15/2007 |
| Last Update Date | 01/27/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487788899 | NPI | - | NPPES |
| DP4487 | Other | CA | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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