MEDICARE: ALTERNATIVE THERAPIES PHCY INC

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
1	3336C0003X	Community/Retail Pharmacy	PHY40981	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	1991436	OTHER		PK

General Provider Information

NPI Number	:	1386689602
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALTERNATIVE THERAPIES PHCY INC

Provider Business Mailing Address
First Line	:	2523 E WASHINGTON BLVD
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91104-2044
Country	:	US
Telephone Number	:	626-791-7600
Fax Number	:	626-791-9165

Provider Business Practice Location Address
First Line	:	2523 E WASHINGTON BLVD
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91104-2044
Country	:	US
Telephone Number	:	626-791-7600
Fax Number	:	626-791-9165

Authorized Official
Title or Position	:	PIC
Name	:	SORIN KAZANGIAN
Credential	:	RPH
Telephone Number	:	626-791-7600

Provider Enumeration Date	:	06/19/2006
Last Update Date	:	03/13/2015

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Directions to “ALTERNATIVE THERAPIES PHCY INC ” Practice Location

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