Pacific Valley Medical Group

LBN: Pacific Valley Medical Group
Pacific Valley Medical Group is an health care organization with primary practice located at 100 W California Blvd , Pasadena CA 91105-3010. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as the primary health care specialty. Pacific Valley Medical Group can be contacted via phone (626) 397-5000, or through Maskin, Jonathan David via phone (818) 249-2950.

Contact Information

Primary practice address
100 W California Blvd Pasadena CA 91105-3010
Phone: (626) 397-5000
Fax: (626) 397-2912
Website:
Map and Directions
Authorized official contact:
Name: Maskin, Jonathan David Doctor of Medicine (MD)
Phone: (818) 249-2950

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X FNP24854 California

Profile Details

NPI number 1851312862
LBN Legal business name Pacific Valley Medical Group
DBA Doing business as
Authorized official Maskin, Jonathan David Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 22nd, 2006
Last updated Sep 30th, 2008 - about 16 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 1851312862 NPPES
California MEDICAID GR0071200
California Other ZZZ547442

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