Provider Demographics
NPI:1013002047
Name:CITY OF PASADENA
Entity Type:Organization
Organization Name:CITY OF PASADENA
Other - Org Name:PASADENA PUBLIC HEALTH DEPARTMENT
Other - Org Type:Other Name
Authorized Official - Title/Position:PASADENA PUBLIC HEALTH DIRECTOR/HEA
Authorized Official - Prefix:DR
Authorized Official - First Name:YING
Authorized Official - Middle Name:
Authorized Official - Last Name:GOH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:626-744-6166
Mailing Address - Street 1:1845 NORTH FAIR OAKS AVENUE
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91103-1620
Mailing Address - Country:US
Mailing Address - Phone:626-744-6034
Mailing Address - Fax:626-744-6113
Practice Address - Street 1:1845 NORTH FAIR OAKS AVENUE
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91103-1620
Practice Address - Country:US
Practice Address - Phone:626-744-6034
Practice Address - Fax:626-744-6113
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-04
Last Update Date:2016-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
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