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Organization
PCH PASADENA, LLC
Active
Organization
PCH PASADENA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERRY KREKORIAN (PRESIDENT)
(310) 963-2059
Entity
Organization
Contact information
Practice address
2400 MISSION ST, SAN MARINO, CA 91108-1632
(310) 566-7625
Mailing address
11965 VENICE BLVD STE 202, LOS ANGELES, CA 90066-3954
(310) 566-7625
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/24/2016
Last updated
08/24/2016
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