| Pasadena Primary Care Inc | |
|
1403 N Fair Oaks Ave Suite 2 Pasadena CA 91103-1858 | |
| (626) 797-4477 | |
| (626) 797-4471 |
| Full Name | Pasadena Primary Care Inc |
|---|---|
| Speciality | General Practice |
| Location | 1403 N Fair Oaks Ave, Pasadena, California |
| Authorized Official Name and Position | Muhammad R Nasir (DIRECTOR) |
| Authorized Official Contact | 6267974477 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pasadena Primary Care Inc 1403 N Fair Oaks Ave Suite 2 Pasadena CA 91103-1858 Ph: (626) 797-4477 | Pasadena Primary Care Inc 1403 N Fair Oaks Ave Suite 2 Pasadena CA 91103-1858 Ph: (626) 797-4477 |
| NPI Number | 1679614648 |
|---|---|
| Provider Enumeration Date | 02/10/2007 |
| Last Update Date | 09/24/2007 |
| Medicare PECOS PAC ID | 9739286832 |
|---|---|
| Medicare Enrollment ID | O20070524000595 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679614648 | NPI | - | NPPES |
| 00A442532 | Medicaid | CA | |
| 00A442530 | Other | CA | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | A44253 (California) | Primary |
| Provider Name | Muhammad R Nasir |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427002526 PECOS PAC ID: 6709770811 Enrollment ID: I20040210000887 |
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