Organization
NORTH LAKE REHAB AND MEDICAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MUHAMMAD R NASIR M.D. (OWNER/DOCTOR)
(626) 798-8976
Entity
Organization
Contact information
Practice address
1403 N FAIR OAKS AVE STE 2, PASADENA, CA 91103-1893
(626) 798-8976
(626) 794-3010
Mailing address
2052 N LAKE AVE, SUITE 2, ALTADENA, CA 91001-2450
(626) 798-8976
(626) 794-3010
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A044253
CA
208VP0000X
Pain Medicine Physician
Primary
A044253
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A442530
CALIFORNIA BLUE SHIELD
CA
05
—
00A442530
—
CA
01
—
P00119240
RAIL ROAD MEDICARE
CA
Enumeration date
05/18/2006
Last updated
01/05/2023
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