| Southern California Internists Medical Group | |
|
1713 E Walnut St Pasadena CA 91106-1611 | |
| (818) 482-5500 | |
| Not Available |
| Full Name | Southern California Internists Medical Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 1713 E Walnut St, Pasadena, California |
| Authorized Official Name and Position | Gregor Paronian (PRESIDENT) |
| Authorized Official Contact | 8184825500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern California Internists Medical Group 1713 E Walnut St Pasadena CA 91106-1611 Ph: (818) 482-5500 | Southern California Internists Medical Group 1713 E Walnut St Pasadena CA 91106-1611 Ph: (818) 482-5500 |
| NPI Number | 1689203374 |
|---|---|
| Provider Enumeration Date | 04/04/2020 |
| Last Update Date | 04/04/2020 |
| Medicare PECOS PAC ID | 2668895012 |
|---|---|
| Medicare Enrollment ID | O20200702000521 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689203374 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Luisa M Schulman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932390580 PECOS PAC ID: 5890855720 Enrollment ID: I20081121000038 |
| Provider Name | Gregor Paronian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366627945 PECOS PAC ID: 1557510401 Enrollment ID: I20121009000448 |
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