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NPI Code Detail

MEDICARE: PASADENA LASER AND SURGERY CENTER A MEDICAL CORPORATION

MEDICARE: PASADENA LASER AND SURGERY CENTER A MEDICAL CORPORATION
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QA1903XAmbulatory Surgical Clinic/Center

General Provider Information

NPI Number : 1013993252
Entity Type Code : Organization
Provider Name (Legal Business Name) : PASADENA LASER AND SURGERY CENTER A MEDICAL CORPORATION
Provider Business Mailing Address
First Line : PO BOX 661120
Second Line :
City : ARCADIA
State : CA
Zip : 91066-1120
Country : US
Telephone Number : 626-294-4866
Fax Number : 626-294-4872
Provider Business Practice Location Address
First Line : 960 E GREEN ST
Second Line : SUITE 110
City : PASADENA
State : CA
Zip : 91106-2401
Country : US
Telephone Number : 626-294-4866
Fax Number : 626-294-4872
Authorized Official
Title or Position : MEDICAL DIRECTOR
Name : AMIR KASHEFI
Credential :
Telephone Number : 818-270-1280
Provider Enumeration Date : 12/20/2005
Last Update Date : 02/28/2025

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Directions to “PASADENA LASER AND SURGERY CENTER A MEDICAL CORPORATION ” Practice Location

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