Healthcare Provider Details

I. General information

NPI: 1801287008
Provider Name (Legal Business Name): PABAND MEDICAL CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/10/2015
Last Update Date: 03/06/2024
Certification Date: 03/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5111 GARFIELD ST STE B
LA MESA CA
91941-5148
US

IV. Provider business mailing address

5111 GARFIELD ST STE B
LA MESA CA
91941-5148
US

V. Phone/Fax

Practice location:
  • Phone: 619-698-9375
  • Fax: 619-698-9378
Mailing address:
  • Phone: 619-698-9375
  • Fax: 619-698-9378

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA120108
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. RASHID PABAND
Title or Position: PRESIDENT
Credential: M.D.
Phone: 760-208-8411