Individual
DR. PAMELYN CLOSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1520 SAN PABLO ST, SUITE 1000, LOS ANGELES, CA 90033-5310
(323) 442-5100
Mailing address
PO BOX 31303, LOS ANGELES, CA 90031-0303
(323) 442-5100
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
G57580
CA
2080H0002X
Pediatric Hospice and Palliative Medicine Physician
G057580
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1902846306
GROUP NPI
CA
01
—
W18762
GROUP MEDI-CAL
CA
Enumeration date
08/05/2007
Last updated
11/25/2013
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