Organization · Type 2 NPI

South Lake Medical Center Inc

Non-Pharmacy Dispensing Site · Pasadena, CA

NPI number 1295092021 Active

Practice location

350 S Lake Ave, Ste 280
Pasadena, CA 91101-3530

Call (626) 449-8314 Map

Mailing address

2980 N Beverly Glen Cir, Suite 301
Los Angeles, CA 90077-1726

Specialties and licenses

TaxonomyCodeLicense
Non-Pharmacy Dispensing Site Primary 332900000XNone listed

Non-Pharmacy Dispensing Site: A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

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About NPI 1295092021

South Lake Medical Center Inc's National Provider Identifier is 1295092021, issued on Apr 18, 2012. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Pasadena, CA. The record was last updated on Apr 18, 2012.