| Organization Name: | PASADENA FAMILY MEDICINE INC |
| NPI Number: | 1033221627 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | NALINI DEVI MATTAI (ATTENDING PHYSICIAN OWNER) |
| Mailing Address: | 301 S Fair Oaks Ave Ste #405 Pasadena |
| State: | CA US |
| Postal Code: | 911052561 |
| Phone Number: | 6267921912 |
| Fax Number: | 6267921960 |
| NPI Enumeration Date: | 08/31/2006 |
| NPI Last Update Date: | 07/12/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | G83956 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |