Active NPI 1306824545 Individual Practitioner Female Practitioner

Dr. Marilynn W Moore , MD

Internal Medicine • Pasadena, CA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Marilynn Moore, MD is a certified Internal Medicine practicing in Pasadena, CA. With approximately 48 years of clinical experience since graduating from University Of Alabama School Of Medicine in 1978, Dr. Moore delivers high-quality medical care to the local community at 1060 E GREEN ST.

Dr. Moore accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, residence visit for established patient with low level of medical decision making, per day, if using time, at least, subsequent hospital care with moderate levelof medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1060 E Green St
#204

Pasadena, CA 91106

Telephone 6267923843

Fax 6267928320

Associated Practice Facility / Clinic

🏢 Mark Bernhard, D.o. Inc. Facility NPI 1487869558

Medicare Profile & Education

Medical School

University Of Alabama School Of Medicine

Graduation Year

1978

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Pasadena, CA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

48 Yrs +23.7 yrs vs City Avg

City Avg: 24.3 Yrs

State Avg: 26.6 Yrs

Regional Practice Density

149 Specialists

Practicing in Pasadena, CA (18502 Statewide)

Telehealth Adoption Rate

32.2% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

39.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Moore (48 Years) 48 Yrs

Pasadena Specialty Average (24.3 Years) 24.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	321	160	$125.00	$92.27
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	321	82	$185.00	$74.46
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	272	57	$180.00	$113.25
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	220	45	$150.00	$75.52
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	163	97	$165.00	$129.08
99443 Telephone medical discussion with physician, 21-30 minutes	102	67	$165.00	$129.21
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	80	49	$100.00	$42.87
99442 Telephone medical discussion with physician, 11-20 minutes	73	62	$125.00	$92.31
93000 Routine ekg using at least 12 leads including interpretation and report	70	65	$50.00	$14.61
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	59	47	$265.00	$165.67
99238 Hospital discharge day management, 30 minutes or less	59	49	$185.00	$78.50
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	53	28	$125.00	$72.89
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	43	31	$225.00	$122.63
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	40	36	$190.00	$174.60
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	20	20	$340.00	$127.56
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	16	16	$255.00	$221.82
99347 Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes	12	11	$150.00	$44.74
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	12	11	$135.00	$105.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	670	214	$125.00	$98.45
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	630	100	$180.00	$125.12
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	566	98	$184.69	$80.73
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	443	177	$165.00	$138.78
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	351	52	$125.00	$79.37
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	296	72	$150.00	$83.20
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	216	71	$100.00	$45.89
99443 Telephone medical discussion with physician, 21-30 minutes	179	94	$165.00	$138.21
99442 Telephone medical discussion with physician, 11-20 minutes	169	115	$125.00	$98.46
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	155	70	$224.39	$135.02
93000 Routine ekg using at least 12 leads including interpretation and report	146	125	$50.00	$15.91
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	145	91	$265.00	$182.38
99238 Hospital discharge day management, 30 minutes or less	104	76	$185.00	$85.75
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	63	56	$190.00	$187.03
99347 Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes	53	36	$150.00	$47.35
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	47	47	$340.00	$140.36
99306 Initial nursing facility visit, typically 45 minutes per day	43	34	$235.00	$192.86
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	42	40	$125.00	$57.52
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	37	23	$135.00	$113.66
99441 Telephone medical discussion with physician, 5-10 minutes	37	32	$85.00	$61.73
99239 Hospital discharge day management, more than 30 minutes	30	25	$200.00	$121.30
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	27	27	$255.00	$237.11
99345 Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes	17	17	$266.18	$214.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	779	240	$125.00	$100.05
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	686	103	$180.00	$108.58
99335 Established patient assisted living visit, typically 25 minutes	654	108	$150.00	$101.84
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	446	58	$125.00	$73.72
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	414	164	$165.00	$140.91
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	309	71	$150.00	$75.36
99442 Telephone medical discussion with physician, 11-20 minutes	296	131	$125.00	$99.93
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	251	98	$100.00	$45.81
99336 Established patient assisted living visit, typically 40 minutes	180	74	$180.00	$143.96
93000 Routine ekg using at least 12 leads including interpretation and report	141	114	$50.00	$15.88
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	139	91	$265.00	$209.80
99238 Hospital discharge day management, 30 minutes or less	128	85	$185.00	$76.88
99443 Telephone medical discussion with physician, 21-30 minutes	82	60	$165.00	$140.72
99306 Initial nursing facility visit, typically 45 minutes per day	63	46	$235.00	$175.36
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	63	53	$190.00	$188.17
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	52	52	$340.00	$143.83
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	52	50	$125.00	$58.91
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	52	31	$135.00	$97.13
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	36	36	$255.00	$241.54
99328 New patient custodial care facility, group care, or assisted living visit, typically 75 minutes	18	18	$250.00	$230.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	846	241	$125.00	$101.43
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	800	122	$180.00	$110.45
99335 Established patient assisted living visit, typically 25 minutes	675	105	$150.00	$103.26
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	555	75	$125.00	$74.73
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	362	143	$165.00	$143.61
99442 Telephone medical discussion with physician, 11-20 minutes	291	132	$125.00	$101.69
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	277	83	$150.00	$76.84
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	259	91	$100.00	$46.21
99238 Hospital discharge day management, 30 minutes or less	165	119	$185.00	$77.88
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	164	113	$265.00	$214.15
93000 Routine ekg using at least 12 leads including interpretation and report	129	113	$50.00	$16.58
99336 Established patient assisted living visit, typically 40 minutes	90	48	$180.00	$145.99
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	84	44	$135.00	$98.68
99306 Initial nursing facility visit, typically 45 minutes per day	71	53	$235.00	$179.09
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	57	54	$125.00	$59.03
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	56	56	$340.00	$146.62
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	55	43	$190.00	$190.00
99443 Telephone medical discussion with physician, 21-30 minutes	47	38	$165.00	$143.87
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	38	38	$255.00	$243.59
99328 New patient custodial care facility, group care, or assisted living visit, typically 75 minutes	25	25	$250.00	$234.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	1,178	144	$180.00	$112.52
99335 Established patient assisted living visit, typically 25 minutes	1,011	140	$150.00	$104.17
99213 Established patient office or other outpatient visit, typically 15 minutes	759	244	$125.00	$83.31
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	751	87	$125.00	$75.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	379	158	$165.00	$120.58
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	360	102	$150.00	$77.83
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	275	104	$100.00	$45.99
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	202	140	$265.00	$217.65
99238 Hospital discharge day management, 30 minutes or less	191	129	$185.00	$79.45
99442 Telephone medical discussion with physician, 11-20 minutes	186	116	$125.00	$83.48
93000 Routine ekg using at least 12 leads including interpretation and report	138	120	$50.00	$19.17
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	112	56	$135.00	$99.92
99336 Established patient assisted living visit, typically 40 minutes	87	55	$180.00	$146.55
99306 Initial nursing facility visit, typically 45 minutes per day	78	58	$235.00	$181.59
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	68	67	$125.00	$59.39
99443 Telephone medical discussion with physician, 21-30 minutes	53	41	$165.00	$120.48
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	44	44	$340.00	$128.55
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	40	37	$190.00	$161.27
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	30	30	$255.00	$228.20
99328 New patient custodial care facility, group care, or assisted living visit, typically 75 minutes	21	21	$250.00	$237.87
99318 Nursing facility annual assessment, typically 30 minutes	16	16	$250.00	$104.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99335 Established patient assisted living visit, typically 25 minutes	1,146	157	$141.18	$98.91
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	1,135	157	$165.65	$107.08
99213 Established patient office or other outpatient visit, typically 15 minutes	1,107	299	$113.44	$79.24
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	867	107	$122.38	$71.91
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	663	145	$131.45	$74.92
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	443	166	$154.62	$115.50
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	329	111	$100.00	$44.36
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	242	157	$259.92	$208.00
99238 Hospital discharge day management, 30 minutes or less	227	151	$178.92	$75.99
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	197	76	$133.50	$95.51
93000 Routine ekg using at least 12 leads including interpretation and report	154	133	$50.00	$18.33
99306 Initial nursing facility visit, typically 45 minutes per day	126	90	$235.00	$172.44
99336 Established patient assisted living visit, typically 40 minutes	76	55	$178.68	$140.56
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	66	63	$125.00	$56.85
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	57	57	$329.91	$122.60
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	48	44	$190.00	$153.92
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	44	44	$255.00	$217.91
99328 New patient custodial care facility, group care, or assisted living visit, typically 75 minutes	24	24	$245.63	$226.28
99318 Nursing facility annual assessment, typically 30 minutes	18	18	$250.00	$99.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,307	333	$100.00	$75.81
99335 Established patient assisted living visit, typically 25 minutes	1,246	173	$120.05	$96.06
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	1,035	179	$100.00	$73.30
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	882	117	$115.02	$70.71
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	784	153	$145.00	$104.99
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	437	148	$140.00	$111.43
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	383	140	$100.00	$43.98
99238 Hospital discharge day management, 30 minutes or less	269	169	$165.00	$74.34
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	264	165	$250.00	$202.27
93000 Routine ekg using at least 12 leads including interpretation and report	187	150	$50.00	$17.84
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	159	78	$130.00	$93.31
99306 Initial nursing facility visit, typically 45 minutes per day	138	95	$235.00	$169.12
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	97	92	$125.00	$56.03
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	66	66	$315.00	$121.23
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	54	50	$190.00	$149.74
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	41	41	$255.00	$211.95
99336 Established patient assisted living visit, typically 40 minutes	40	29	$175.00	$137.09
99328 New patient custodial care facility, group care, or assisted living visit, typically 75 minutes	38	38	$235.00	$220.52
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	18	13	$25.00	$21.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,352	330	$100.00	$74.94
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	1,262	186	$100.00	$72.08
99335 Established patient assisted living visit, typically 25 minutes	1,190	176	$120.00	$95.35
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	925	123	$115.00	$69.67
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	646	159	$145.00	$104.16
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	433	153	$140.00	$109.94
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	303	122	$100.00	$43.01
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	275	184	$250.00	$200.34
99238 Hospital discharge day management, 30 minutes or less	242	167	$165.00	$73.03
93000 Routine ekg using at least 12 leads including interpretation and report	180	154	$50.00	$17.66
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	151	73	$130.00	$92.18
99306 Initial nursing facility visit, typically 45 minutes per day	126	90	$235.00	$167.25
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	96	94	$125.00	$55.38
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	61	61	$315.00	$118.42
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	59	11	$150.00	$129.04
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	51	45	$190.00	$147.39
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	38	38	$255.00	$209.40
99336 Established patient assisted living visit, typically 40 minutes	33	23	$175.00	$135.27
99328 New patient custodial care facility, group care, or assisted living visit, typically 75 minutes	28	28	$235.00	$218.14
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	13	11	$160.00	$136.88

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License CA G41466

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

G414661 (CA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners

Judith Dytman Baldwin , MA, LMFT

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Doctor of Medicine (M.D.)

Dr. Vasag Bouzoghlanian , DDS

Dentist

NPI 1265602395

Doctor of Dental Surgery

Martin Haines , LAC

Acupuncturist

NPI 1295790699

Licensed Acupuncturist

Dr. Mark Bernhard , DO

Physical Medicine & Rehabilitation - Pain Medicine

NPI 1386719904

Doctor of Osteopathic Medicine (D.O.)

Dr. Tailee Tse , DDS

Dentist

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Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active January 04, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location January 04, 2010

Registered at 1060 E GREEN ST, #204, PASADENA, CA 91106 (Tel: 6267923843)

📍

Updated Business Mailing Address January 04, 2010

Registered at 1060 E GREEN ST, #204, PASADENA, CA 91106 (Tel: 6267923843)

👤

Provider Name / Credentials Updated January 04, 2010

Recorded as MARILYNN MOORE, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 04, 2010

Internal Medicine (License #G41466 in CA)

🟢

Initial NPI Registration & Enumeration January 06, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1306824545

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: January 06, 2006

Last Update: January 04, 2010

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

1060 E Green St, #204

Pasadena, CA 91106

Phone: 6267923843

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.