Tri City Institute South

LBN: The Pajo Corporation
Tri City Institute South is an health care organization with primary practice located at 11900 Avalon Blvd Suite 200, Los Angeles CA 90061-2837. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, which is considered as the primary health care specialty. The Pajo Corporation can be contacted via phone (323) 242-0500, or through Perry, Carolyn via phone (323) 242-0500.

Contact Information

Primary practice address
11900 Avalon Blvd Suite 200 Los Angeles CA 90061-2837
Fax: (323) 242-0600
Website:
Authorized official contact:
Name: Perry, Carolyn Physician Assistant (PA)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X 19.151 California

Profile Details

NPI number 1649307869
LBN Legal business name The Pajo Corporation
DBA Doing business as Tri City Institute South
Authorized official Perry, Carolyn Physician Assistant (PA)
Entity Organization
Organization subpart 1 Yes
Enumeration date Feb 27th, 2007
Last updated May 24th, 2016 - about 8 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 1649307869 NPPES
California MEDICAID HDC70115F

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