Organization
MADISON 101 PASADENA, LLC
Active
Parent organization
MADISON 101 PASADENA, LLC
Other names
MADISON 101 PASADENA SURGERY CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
MADISON 101 PASADENA, LLC
Authorized official
MICHAEL S SCHWARTZ MD (OWNER)
(626) 793-5134
Entity
Organization
Contact information
Practice address
960 E GREEN ST, SUITE 101, PASADENA, CA 91106-2401
(626) 793-5134
(626) 793-2912
Mailing address
960 E GREEN ST, SUITE 101, PASADENA, CA 91106-2401
(626) 793-5134
(626) 793-2912
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
10275
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10275
INSTITUTE FOR MEDICAL QUALITY AMBULATORY PROGRAM
CA
Enumeration date
06/05/2009
Last updated
06/05/2009
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