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Organization
PASADENA ID, INC.
Active
Organization
PASADENA ID, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID G MAN M.D. (CEO)
(323) 340-8845
Entity
Organization
Contact information
Practice address
50 ALESSANDRO PL, SUITE 360, PASADENA, CA 91105-3149
(626) 793-6133
(626) 793-6135
Mailing address
254 CAMINO DEL SOL, SOUTH PASADENA, CA 91030-3529
(323) 340-8845
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
NULL
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Enumeration date
06/24/2007
Last updated
04/28/2010
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