Organization · Type 2 NPI
Madison 101 Pasadena LLC
Ambulatory Surgical Clinic/Center · Pasadena, CA
NPI number
1760640338
Active
Practice location
960 E Green St, Suite 101
Pasadena, CA 91106-2401
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulatory Surgical Clinic/Center Primary | 261QA1903X | G50895 (CA) |
Ambulatory Surgical Clinic/Center: Definition to come...
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About NPI 1760640338
Madison 101 Pasadena LLC's National Provider Identifier is 1760640338, issued on May 29, 2008. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Pasadena, CA. The record was last updated on May 29, 2008.