Provider Demographics
NPI:1003523499
Name:PASADENA INTEGRATIVE PSYCHIATRY
Entity Type:Organization
Organization Name:PASADENA INTEGRATIVE PSYCHIATRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JASBIR
Authorized Official - Middle Name:KAUR
Authorized Official - Last Name:VIRK
Authorized Official - Suffix:
Authorized Official - Credentials:MD, MPH
Authorized Official - Phone:518-366-8276
Mailing Address - Street 1:2835 SANBORN AVE
Mailing Address - Street 2:
Mailing Address - City:LA CRESCENTA
Mailing Address - State:CA
Mailing Address - Zip Code:91214-2816
Mailing Address - Country:US
Mailing Address - Phone:518-366-8276
Mailing Address - Fax:
Practice Address - Street 1:2835 SANBORN AVE
Practice Address - Street 2:
Practice Address - City:LA CRESCENTA
Practice Address - State:CA
Practice Address - Zip Code:91214-2816
Practice Address - Country:US
Practice Address - Phone:518-366-8276
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-03
Last Update Date:2022-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty