| Joseph J. Pachorek Md Inc A California Corporation | |
|
630 S Raymond Ave Suite 320 Pasadena CA 91105-3278 | |
| (626) 795-4223 | |
| (626) 795-2473 |
| Full Name | Joseph J. Pachorek Md Inc A California Corporation |
|---|---|
| Speciality | Internal Medicine |
| Location | 630 S Raymond Ave, Pasadena, California |
| Authorized Official Name and Position | Joseph J. Pachorek (PRESIDENT) |
| Authorized Official Contact | 6267954223 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph J. Pachorek Md Inc A California Corporation 630 S Raymond Ave Suite 320 Pasadena CA 91105-3278 Ph: (626) 795-4223 | Joseph J. Pachorek Md Inc A California Corporation 630 S Raymond Ave Suite 320 Pasadena CA 91105-3278 Ph: (626) 795-4223 |
| NPI Number | 1992739148 |
|---|---|
| Provider Enumeration Date | 07/11/2006 |
| Last Update Date | 01/19/2011 |
| Medicare PECOS PAC ID | 2769478692 |
|---|---|
| Medicare Enrollment ID | O20050418001187 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992739148 | NPI | - | NPPES |
| CN7338 | Other | CA | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | G61061 (California) | Primary |
| Provider Name | Daniel Rowady |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578661609 PECOS PAC ID: 7618977976 Enrollment ID: I20070110000429 |
| Provider Name | Linda A Hillier |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407029192 PECOS PAC ID: 1254491400 Enrollment ID: I20081118000873 |
| Provider Name | Joseph J. Pachorek |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881622843 PECOS PAC ID: 2668410960 Enrollment ID: I20101213000869 |
| Provider Name | Gaiane Lopez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508263435 PECOS PAC ID: 3577829563 Enrollment ID: I20171107003396 |
| Provider Name | Jennifer Lynn Fricke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902371057 PECOS PAC ID: 4183967870 Enrollment ID: I20190521001556 |
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