# PASADENA PRIMARY CARE INC

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

## Provider details

- **NPI number:** 1679614648
- **Authorized official:** MUHAMMAD R NASIR MD (DIRECTOR)
- **Authorized official phone:** (626) 797-4477

## Contact information

- **Practice address:** 1403 N FAIR OAKS AVE, SUITE 2, PASADENA, CA 91103-1858
- **Practice address phone:** (626) 797-4477
- **Practice address fax:** (626) 797-4471
- **Mailing address:** 1403 N FAIR OAKS AVE, SUITE 2, PASADENA, CA 91103-1858
- **Mailing address phone:** (626) 797-4477
- **Mailing address fax:** (626) 797-4471

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | A44253 | CA | Yes |

## Other

- **Enumeration date:** 02/10/2007
- **Last updated:** 09/24/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 00A442530 | BLUE CROSS BLUE SHIELD | CA |
| 05 | — | 00A442532 | — | CA |