Provider Demographics
NPI:1447899752
Name:PASADENA ORTHOPEDICS INC
Entity type:Organization
Organization Name:PASADENA ORTHOPEDICS INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:ANNETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:BILLINGS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:626-517-0022
Mailing Address - Street 1:PO BOX 70422
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91117-7422
Mailing Address - Country:US
Mailing Address - Phone:909-226-4040
Mailing Address - Fax:213-266-8183
Practice Address - Street 1:959 E WALNUT ST STE 220
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91106-5363
Practice Address - Country:US
Practice Address - Phone:626-517-0022
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-03
Last Update Date:2020-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty