Individual
DR. PHILIP MARIUS GIRARD JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
425 S FAIR OAKS AVE STE A, PASADENA, CA 91105-2632
(626) 449-1814
(626) 449-0007
Mailing address
425 S FAIR OAKS AVE STE A, PASADENA, CA 91105-2632
(626) 449-1814
(626) 449-0007
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
G32812
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G328120
BLUE SHIELD
CA
05
—
00G328120
—
CA
01
—
130000099
MEDICARE RR
CA
Enumeration date
02/09/2007
Last updated
02/12/2025
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