Organization
ICARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEX P. PESTANAS (OWNER)
(626) 379-9003
Entity
Organization
Contact information
Practice address
438 VINEYARD PL, PASADENA, CA 91107-2956
(626) 379-9003
Mailing address
438 VINEYARD PL, PASADENA, CA 91107-2956
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
01/13/2012
Last updated
01/13/2012
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