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Organization · Preferred Provider Organization · Pasadena, CA

NPI
1043660004
Type
Organization (Type 2)
Primary specialty
Preferred Provider Organization
Specialty group
Managed Care Organizations
Taxonomy code
305R00000X
License number
57036 (CA)
Enumerated
2016-06-20
Last updated
2017-11-21
Practice location
859 N Fair Oaks Ave, Unit 120
Pasadena, CA 91103-3076
(626) 765-9758

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