Organization
LYSANDER JIM, M.D. INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LYSANDER JIM M.D. (PRESIDENT)
(626) 800-3860
Entity
Organization
Contact information
Practice address
452 N ALTADENA DR, PASADENA, CA 91107-2536
(626) 800-3860
Mailing address
601 CAMINO VERDE, S PASADENA, CA 91030-4139
(626) 800-3860
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
3985886
CA
Other
Enumeration date
02/27/2017
Last updated
02/27/2017
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up