Sallie Jim is a Physician Assistant in Pasadena, California. Sallie Jim practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Sallie Jim is 1609962836. The last update date is 2007-07-09.
Sallie Jim's current location address is Po Box 31001-0698, Pasadena, California. You can contact this provider via phone number 6022631511 and fax number 6022631619. The mailing address for Sallie Jim is Po Box 31001-0698, Pasadena, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Sallie Jim |
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Address | Po Box 31001-0698, Pasadena, California |
Phone Number | 6022631511 |
Fax Number | 6022631619 |
Sole Proprietor | N |
Credentials | PA-C |
NPI Number Detail
NPI Number | 1609962836 |
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Provider Enumeration Date | 2006-10-05 |
Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
Address | Po Box 31001-0698 |
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City | Pasadena |
State | California (CA) |
Post Code | 911100698 |
Phone Number | 6022631511 |
Fax Number | 6022631619 |
Provider's Primary Taxonomy Detail
Speciality | Physician Assistant |
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Taxonomy | 363A00000X |
Licence No | 1947 |
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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635203 | AZ | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Sallie Jim by the Centers for Medicare & Medicaid Services?
The Sallie Jim has been issued the NPI (National Provider Identifier) 1609962836. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Sallie Jim is geographically located?
The Sallie Jim is physically situated at the following location: Po Box 31001-0698, Pasadena, CA, 911100698.
What is Sallie Jim's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Sallie Jim is Physician Assistant, and the corresponding taxonomy classification code for this specialized field is 363A00000X.
When was the Sallie Jim's 1609962836 issued?
The Sallie Jim's 1609962836 was issued on 2006-10-05.
When was the Sallie Jim's information last updated?
The Sallie Jim's information was last updated on 2007-07-09.
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