MEDICARE: THE PAJO CORP

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	261QR0405X	Substance Use Disorder Rehabilitation Clinic/Center	19.135	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

General Provider Information

NPI Number	:	1245389725
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE PAJO CORP

Provider Business Mailing Address
First Line	:	2080 CENTURY PARK E
Second Line	:	SUITE 1210
City	:	CENTURY CITY
State	:	CA
Zip	:	90067-2001
Country	:	US
Telephone Number	:	310-553-9500
Fax Number	:	310-553-7247

Provider Business Practice Location Address
First Line	:	2080 CENTURY PARK E
Second Line	:	SUITE 1210
City	:	CENTURY CITY
State	:	CA
Zip	:	90067-2001
Country	:	US
Telephone Number	:	310-553-9500
Fax Number	:	310-553-7247

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	CAROLYN PERRY
Credential	:	PHYSICIAN ASSISTANT
Telephone Number	:	310-553-9500

Provider Enumeration Date	:	01/10/2007
Last Update Date	:	05/24/2016

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Directions to “THE PAJO CORP ” Practice Location

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