Organization
SO PASADENA OB & GYN MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH Y LI M.D. (MEDICAL DIRECTOR)
(626) 577-8058
Entity
Organization
Contact information
Practice address
10 CONGRESS ST STE 403, PASADENA, CA 91105-3023
(626) 577-8058
(626) 440-9976
Mailing address
10 CONGRESS ST STE 403, PASADENA, CA 91105-3023
(626) 577-8058
(626) 440-9976
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
Primary
G40118
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0058170
—
CA
Enumeration date
11/27/2006
Last updated
06/17/2008
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