MEDICARE: ERIK PASIN MD 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	208800000X	Urology Physician	A87901	CA

General Provider Information

NPI Number	:	1437315439
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ERIK PASIN MD INC

Provider Business Mailing Address
First Line	:	24321 AVENIDA DE LA CARLOTA STE H7
Second Line	:
City	:	LAGUNA HILLS
State	:	CA
Zip	:	92653-3681
Country	:	US
Telephone Number	:	949-768-6711
Fax Number	:	949-707-1061

Provider Business Practice Location Address
First Line	:	24321 AVENIDA DE LA CARLOTA STE H7
Second Line	:
City	:	LAGUNA HILLS
State	:	CA
Zip	:	92653-3681
Country	:	US
Telephone Number	:	949-768-6711
Fax Number	:	949-707-1061

Authorized Official
Title or Position	:	OWNER
Name	:	ERIK A PASIN
Credential	:	MD
Telephone Number	:	949-768-6711

Provider Enumeration Date	:	07/30/2008
Last Update Date	:	06/18/2024

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