Jim, Lysander

Jim, Lysander is an individual health care provider with primary practice located at 452 N Altadena Dr Unit 200 , Pasadena CA 91107-2536. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is his primary health care specialty. Jim, Lysander can be contacted via phone (626) 838-5485.

Contact Information

Primary practice address
452 N Altadena Dr Unit 200 Pasadena CA 91107-2536
Phone: (626) 838-5485
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X A124122 California

Profile Details

NPI number 1457642795
LBN Legal business name Jim, Lysander
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2011
Last updated Mar 21st, 2017 - about 7 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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