Organization
JOHN M COMPOGINIS MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN COMPOGINIS MD (PRESIDENT / CEO)
(916) 425-3238
Entity
Organization
Contact information
Practice address
1044 S FAIR OAKS AVE STE 101, PASADENA, CA 91105-2622
(916) 425-3238
Mailing address
PO BOX 807, LA CANADA FLINTRIDGE, CA 91012-0807
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1306039318
INDIVIDUAL NPI
—
01
—
A105902
MEDICAL LICENSE
CA
Enumeration date
03/18/2020
Last updated
03/19/2020
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