PASADENA ENDOSCOPY CENTER INC; NPI #1336247642

Contact Information

PASADENA ENDOSCOPY CENTER INC

55 W VALLEY ST
PASADENA, CA 91105-2015

Phone: 626-793-9900
Fax: 626-793-9944
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Endoscopy	261QE0800X

Indicates primary specialty

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NPI Profile & details for PASADENA ENDOSCOPY CENTER INC

NPI Number 1336247642

LBN Legal business name PASADENA ENDOSCOPY CENTER INC

Authorized official RICHARD NICKOWITZ - (PRESIDENT/MEDICAL DIRECTOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 09/20/2006

Last updated 03/11/2014 - About 12 years ago

Identifiers

CA	License #	930000974
CA	Medicaid	SUR01537F
CA	Other	490005486	RAILROAD MEDICARE PIN

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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