Dimassa, Giancarlo Pasquale

Dimassa, Giancarlo Pasquale is an individual health care provider with primary practice located at 817 S Madison Ave , Pasadena CA 91106-4404. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Dimassa, Giancarlo Pasquale can be contacted via phone (310) 753-0885.

Contact Information

Primary practice address
817 S Madison Ave Pasadena CA 91106-4404
Phone: (310) 753-0885
Fax: (626) 696-3210
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X A81063 California

Profile Details

NPI number 1255370797
LBN Legal business name Dimassa, Giancarlo Pasquale
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated Sep 26th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255370797 NPPES
California Other 00A810630 BLUE SHIELD
California MEDICAID 00A810630 BLUE SHIELD

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