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
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | 3985886 (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.