Pacific Clinics On Lake Op

LBN: Pacific Clinics
Pacific Clinics On Lake Op is an health care organization with primary practice located at 1460 N Lake Ave , Pasadena CA 91104-2300. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Pacific Clinics can be contacted via phone (626) 296-7710, or through Balla, James J. via phone (626) 254-5000.

Contact Information

Primary practice address
1460 N Lake Ave Pasadena CA 91104-2300
Phone: (626) 296-7710
Fax: (626) 296-7714
Website:
Map and Directions
Authorized official contact:
Name: Balla, James J.
Phone: (626) 254-5000

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X

Profile Details

NPI number 1750424321
LBN Legal business name Pacific Clinics
DBA Doing business as Pacific Clinics On Lake Op
Authorized official Balla, James J.
Entity Organization
Organization subpart 1 No
Enumeration date Feb 14th, 2007
Last updated Aug 17th, 2021 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750424321 NPPES
California MEDICAID 7401

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