| The Leela Integrative Medicine Center, Inc | |
|
50 Bellefontaine St 307 Pasadena CA 91105-3132 | |
| (626) 795-0411 | |
| (626) 795-0080 |
| Full Name | The Leela Integrative Medicine Center, Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 50 Bellefontaine St, Pasadena, California |
| Authorized Official Name and Position | Alexis Melinda Dianne Anvekar (OWNER) |
| Authorized Official Contact | 6267950411 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Leela Integrative Medicine Center, Inc 50 Bellefontaine St 307 Pasadena CA 91105-3132 Ph: (626) 795-0411 | The Leela Integrative Medicine Center, Inc 50 Bellefontaine St 307 Pasadena CA 91105-3132 Ph: (626) 795-0411 |
| NPI Number | 1023407707 |
|---|---|
| Provider Enumeration Date | 01/17/2015 |
| Last Update Date | 01/17/2015 |
| Medicare PECOS PAC ID | 4587956578 |
|---|---|
| Medicare Enrollment ID | O20160712002172 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023407707 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A70655 (California) | Primary |
| Provider Name | Alexis M Anvekar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306952577 PECOS PAC ID: 7012962210 Enrollment ID: I20050415000513 |
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