# NORTH LAKE REHAB AND MEDICAL CENTER INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386697977
- **Authorized official:** DR. MUHAMMAD R NASIR M.D. (OWNER/DOCTOR)
- **Authorized official phone:** (626) 798-8976

## Contact information

- **Practice address:** 1403 N FAIR OAKS AVE STE 2, PASADENA, CA 91103-1893
- **Practice address phone:** (626) 798-8976
- **Practice address fax:** (626) 794-3010
- **Mailing address:** 2052 N LAKE AVE, SUITE 2, ALTADENA, CA 91001-2450
- **Mailing address phone:** (626) 798-8976
- **Mailing address fax:** (626) 794-3010

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | A044253 | CA | — |
| 208VP0000X | Pain Medicine Physician | A044253 | CA | Yes |

## Other

- **Enumeration date:** 05/18/2006
- **Last updated:** 01/05/2023