| Steven J Petit Md A M C | |
|
630 S Raymond Ave Suite 240 Pasadena CA 91105-3278 | |
| (626) 449-9920 | |
| (626) 578-7366 |
| Full Name | Steven J Petit Md A M C |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 630 S Raymond Ave, Pasadena, California |
| Authorized Official Name and Position | Ann Marie Casella (OFFICE MANAGER) |
| Authorized Official Contact | 6264499920 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Steven J Petit Md A M C 630 S Raymond Ave Suite 240 Pasadena CA 91105-3278 Ph: (626) 449-9920 | Steven J Petit Md A M C 630 S Raymond Ave Suite 240 Pasadena CA 91105-3278 Ph: (626) 449-9920 |
| NPI Number | 1902085277 |
|---|---|
| Provider Enumeration Date | 11/02/2007 |
| Last Update Date | 06/17/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902085277 | NPI | - | NPPES |
| 00G298720 | Medicaid | CA | |
| DH1142 | Other | CA | RAILROAD MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | G29872 (California) | Primary |
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