Organization
CITY OF PASADENA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC WALSH (DIRECTOR)
(626) 744-6166
Entity
Organization
Contact information
Practice address
1845 N FAIR OAKS AVE, SUITE G151, PASADENA, CA 91103-1620
(626) 744-6342
Mailing address
1845 N FAIR OAKS AVE, SUITE G151, PASADENA, CA 91103-1620
(626) 744-6342
Taxonomy
Speciality
Code
Description
License number
State
261QP0905X
State or Local Public Health Clinic/Center
Primary
—
CA
Other
Enumeration date
02/01/2013
Last updated
02/01/2013
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