# PASADENA PELLET THERAPY, INC.

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

## Provider details

- **NPI number:** 1831416734
- **Authorized official:** DR. BRYAN JICK M.D. (PRESIDENT)
- **Authorized official phone:** (626) 304-2626

## Contact information

- **Practice address:** 625 S FAIR OAKS AVE, SUITE 255, PASADENA, CA 91105-2613
- **Practice address phone:** (626) 304-2626
- **Practice address fax:** (626) 585-0695
- **Mailing address:** 625 S FAIR OAKS AVE, SUITE 255, PASADENA, CA 91105-2613
- **Mailing address phone:** (626) 304-2626
- **Mailing address fax:** (626) 585-0695

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 05/01/2010
- **Last updated:** 10/31/2010