Organization · Type 2 NPI

Eclat Medical, Inc

Primary Care Clinic/Center · Pasadena, CA

NPI number 1477797306 Active

Practice location

800 Fairmount Ave Ste 410
Pasadena, CA 91105-3154

Call (626) 535-0900 Map

Fax (626) 389-5479

Mailing address

2275 Huntington Dr, #861
San Marino, CA 91108-2640

Specialties and licenses

Taxonomy	Code	License
Primary Care Clinic/Center Primary	261QP2300X	A95845 (CA)

Primary Care Clinic/Center: Definition to come...

Another provider at this address

Shunpei Keith Iwata, MDInternal Medicine Physician Pasadena, CA NPI 1396931309

Other primary care clinic/center providers in Pasadena

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NPI record

NPI: 1477797306
Entity type: Organization (Type 2)
Issued: Apr 22, 2009
Last updated: Aug 27, 2021
Status: Active

Other names

<unavail>
Huntington Healthcare · doing business as
Huntington Healthcare · doing business as

Authorized official

Dr. Shunpei Iwata, MD
Medical Director
(626) 535-0900

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1477797306

Eclat Medical, Inc's National Provider Identifier is 1477797306, issued on Apr 22, 2009. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Pasadena, CA. The record was last updated on Aug 27, 2021.