| Crown City Medical Group, Inc. | |
|
2661 E Washington Blvd Pasadena CA 91107-1412 | |
| (626) 798-4952 | |
| (626) 296-1403 |
| Full Name | Crown City Medical Group, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 2661 E Washington Blvd, Pasadena, California |
| Authorized Official Name and Position | Kevin B. Tyson (MIDICAL DIRECTOR) |
| Authorized Official Contact | 6267988792 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crown City Medical Group, Inc. 2661 E Washington Blvd Pasadena CA 91107-1412 Ph: (626) 798-8792 | Crown City Medical Group, Inc. 2661 E Washington Blvd Pasadena CA 91107-1412 Ph: (626) 798-4952 |
| NPI Number | 1073512836 |
|---|---|
| Provider Enumeration Date | 07/14/2005 |
| Last Update Date | 07/28/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073512836 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (California) | Primary |
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