Mindful Pediatric Gastroenterology, Inc
Mindful Pediatric Gastroenterology, Inc provides Pediatric Gastroenterology Physician services in Pasadena, California. Licensed in California. Registered with an NPI since 2014.
- Licensed in
- CA
- In the registry since
- 2014
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
65 N Madison Ave Ste 709Pasadena, CA 91101-2035 Not confirmed with CMS for 12 years — call before visiting
Phone: (626) 800-4059
Fax: (626) 800-3974
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatric Gastroenterology Physician (primary) | Taxonomy 2080P0206X · Licence A106843 (CA) |
|---|
Record details
| NPI number | 1790186112 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Gilberto Bultron — Ceo · (626) 800-4059 |
| NPI enumerated | September 5, 2014 |
| Last updated in NPPES | September 9, 2014 |
| Mailing address | 65 N Madison Ave, Suite 709, Pasadena, CA 91101-2035 |