Andre Panossian in Pasadena - Plastic Surgery
Andre Panossian - NPI 1710177845
Andre Panossian is a Plastic Surgery in Pasadena, California. Andre Panossian practices all healthcare services and medical treatments related to Plastic Surgery. The NPI Number for Andre Panossian is 1710177845. The last update date is 2019-09-15.
Andre Panossian's current location address is 39 Congress St Ste 402, Pasadena, California. You can contact this provider via phone number 8009583778 and fax number 8009583778. The mailing address for Andre Panossian is 39 Congress St Ste 402, Pasadena, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Andre Panossian |
|---|---|
| Address | 39 Congress St Ste 402, Pasadena, California |
| Phone Number | 8009583778 |
| Fax Number | 8009583778 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1710177845 |
|---|---|
| Provider Enumeration Date | 2007-07-25 |
| Last Updated Date | 2019-09-15 |
Provider Mailing Address Detail
| Address | 39 Congress St Ste 402 |
|---|---|
| City | Pasadena |
| State | California (CA) |
| Post Code | 911053024 |
| Phone Number | 8009583778 |
| Fax Number | 8009583778 |
Provider's Primary Taxonomy Detail
| Speciality | Plastic Surgery |
|---|---|
| Taxonomy | 208200000X |
| Licence No | A76052 |
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Definition: A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or c |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00A760520 | CA | BLUE SHIELD # | |
| 1710177845 | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Andre Panossian by the Centers for Medicare & Medicaid Services?
The Andre Panossian has been issued the NPI (National Provider Identifier) 1710177845 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Andre Panossian is physically located?
The Andre Panossian is physically situated at the following address: 39 Congress St Ste 402, Pasadena, CA, 911053024.
What is the Andre Panossian's specialty and taxonomy code?
The Andre Panossian's specialty is Plastic Surgery, and the corresponding taxonomy code is 208200000X.
On what date did Andre Panossian receive its 1710177845 assignment from the Centers for Medicare & Medicaid Services?
The Andre Panossian was assigned its 1710177845 on 2007-07-25, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Andre Panossian last refreshed?
The information related to the Andre Panossian, including its address, specialty, and other relevant details, was last updated on 2019-09-15.