| Nubar Sethian, M.d. | |
|
1028 N Lake Ave Ste 103 Pasadena CA 91104-4570 | |
| (626) 797-3378 | |
| (626) 797-4812 |
| Full Name | Nubar Sethian, M.d. |
|---|---|
| Speciality | General Practice |
| Location | 1028 N Lake Ave Ste 103, Pasadena, California |
| Authorized Official Name and Position | Nubar Aram Sethian (PRESIDANT) |
| Authorized Official Contact | 6267973378 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nubar Sethian, M.d. 1028 N Lake Ave Ste 103 Pasadena CA 91104-4570 Ph: (626) 797-3378 | Nubar Sethian, M.d. 1028 N Lake Ave Ste 103 Pasadena CA 91104-4570 Ph: (626) 797-3378 |
| NPI Number | 1609184142 |
|---|---|
| Provider Enumeration Date | 09/17/2010 |
| Last Update Date | 09/17/2010 |
| Medicare PECOS PAC ID | 4385830777 |
|---|---|
| Medicare Enrollment ID | O20101124000623 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609184142 | NPI | - | NPPES |
| 00A44867 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (California) | Secondary |
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Nubar A Sethian |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1598837692 PECOS PAC ID: 5294921680 Enrollment ID: I20101124000643 |
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