Provider Demographics
NPI:1568791721
Name:HU, PAMELA BOSTIC (MD)
Entity Type:Individual
Prefix:DR
First Name:PAMELA
Middle Name:BOSTIC
Last Name:HU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:473 N FAIR OAKS AVE
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91103-3621
Mailing Address - Country:US
Mailing Address - Phone:626-792-2378
Mailing Address - Fax:626-792-2605
Practice Address - Street 1:473 N FAIR OAKS AVE
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91103-3621
Practice Address - Country:US
Practice Address - Phone:626-792-2378
Practice Address - Fax:626-792-2605
Is Sole Proprietor?:No
Enumeration Date:2009-12-17
Last Update Date:2023-03-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG85638207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CABB5798167OtherDEA