Organization
PASADENA PELLET THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRYAN JICK M.D. (PRESIDENT)
(626) 304-2626
Entity
Organization
Contact information
Practice address
625 S FAIR OAKS AVE, SUITE 255, PASADENA, CA 91105-2613
(626) 304-2626
(626) 585-0695
Mailing address
625 S FAIR OAKS AVE, SUITE 255, PASADENA, CA 91105-2613
(626) 304-2626
(626) 585-0695
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
05/01/2010
Last updated
10/31/2010
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