# HEALTH ADVANTAGE PHYSICAL MEDICINE INC

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

## Provider details

- **NPI number:** 1851799332
- **Authorized official:** MR. JOHNNY KAMON (CASE MANAGER)
- **Authorized official phone:** (626) 798-7805

## Contact information

- **Practice address:** 1450 N LAKE AVE, PASADENA, CA 91104-2301
- **Practice address phone:** (626) 798-7805
- **Practice address fax:** (626) 798-7800
- **Mailing address:** 1450 N LAKE AVE, PASADENA, CA 91104-2301
- **Mailing address phone:** (626) 798-7805
- **Mailing address fax:** (626) 798-7800

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/15/2014
- **Last updated:** 08/20/2015