Organization
JACKLIN POLADIAN, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACKLIN POLADIAN M.D. (CHIEF EXECUTIVE OFFICER)
(626) 200-4500
Entity
Organization
Contact information
Practice address
800 FAIRMOUNT AVE STE 420, PASADENA, CA 91105-3154
(626) 200-4500
(626) 795-0704
Mailing address
301 S FAIR OAKS AVE, SUITE 403, PASADENA, CA 91105-2561
(626) 200-4500
(626) 795-0704
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
A110327
CA
Other
Enumeration date
12/13/2011
Last updated
10/27/2023
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