MEDICARE: JOHN K F DEBEIXEDON 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	207R00000X	Internal Medicine Physician	A46593	CA

General Provider Information

NPI Number	:	1548391287
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOHN K F DEBEIXEDON MD INC

Provider Business Mailing Address
First Line	:	PO BOX 90067
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91109-5067
Country	:	US
Telephone Number	:	626-577-9495
Fax Number	:	626-792-2117

Provider Business Practice Location Address
First Line	:	675 S ARROYO PKWY STE 320
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91105-3264
Country	:	US
Telephone Number	:	626-577-9495
Fax Number	:	626-792-2117

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JOHN K F DEBEIXEDON
Credential	:
Telephone Number	:	626-577-9495

Provider Enumeration Date	:	03/07/2007
Last Update Date	:	12/02/2025

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