Organization · Type 2 NPI

Lysander Jim, M.d. Inc

Clinic/Center · Pasadena, CA

NPI number 1639619414 Active

Practice location

452 N Altadena Dr
Pasadena, CA 91107-2536

Mailing address

601 Camino Verde
South Pasadena, CA 91030-4139

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000X3985886 (CA)

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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About NPI 1639619414

Lysander Jim, M.d. Inc's National Provider Identifier is 1639619414, issued on Feb 27, 2017. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Pasadena, CA. The record was last updated on Feb 27, 2017.