ECLAT MEDICAL, INC (NPI# 1477797306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1477797306 |
Entity Type | Organization |
Organization Name | ECLAT MEDICAL, INC |
Other Organization Name | HUNTINGTON HEALTHCARE |
Practice Address |
50 Bellefontaine St #203 Pasadena CA 91105-3132 |
Mailing Address |
2275 Huntington Dr #861 San Marino CA 91108-2640 |
Practice Telephone | 6265350900 |
Practice Fax Number | 6263895479 |
Mailing Telephone | 6265350900 |
Mailing Fax Number | 6263895479 |
Enumeration Date | 2009-04-22 |
Last Update Date | 2020-10-30 |
Authorized Official Name | DR. SHUNPEI KEITH IWATA (MEDICAL DIRECTOR) |
Authorized Official Telephone | 6265350900 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
A95845 | CA | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Huntington Healthcare | Doing Business As Name - Organization |
Street Address |
50 BELLEFONTAINE ST #203 |
City | PASADENA |
State | CA |
Zip Code | 91105-3132 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639174063 | Thomas L Vander Laan | Specialist | 50 Bellefontaine St, Ste 303, Pasadena, CA 91105-3132 | 2005-06-13 |
1194282624 | Chang Zaifman Dental Inc | Dentist | 50 Bellefontaine St, Suite 102, Pasadena, CA 91105 | 2019-02-20 |
1750740742 | Academic Hospitalists Management Group Inc | Hospitalist | 50 Bellefontaine St, Suite 307, Pasadena, CA 91105-3132 | 2016-02-18 |
1023407707 | The Leela Integrative Medicine Center, Inc | Internal Medicine | 50 Bellefontaine St, 307, Pasadena, CA 91105-3132 | 2015-01-17 |
1649686791 | Zaree Babakhanian, M.d., Inc. | Internal Medicine | 50 Bellefontaine St, Suite 409, Pasadena, CA 91105-3132 | 2014-07-09 |
1407136617 | Shazhou Luo | Nurse Practitioner | 50 Bellefontaine St, Pasadena, CA 91105-3132 | 2011-08-18 |
1932343027 | Tommy H. Chen, Md.,incorporation | Specialist | 50 Bellefontaine St, # 301, Pasadena, CA 91105-3132 | 2009-04-21 |
1164696654 | Ralph B. Martin, M.d., Inc. | Internal Medicine | 50 Bellefontaine St, Suite 205, Pasadena, CA 91105-3132 | 2008-04-16 |
1932372562 | Joseph Del Priore | Dermatology | 50 Bellefontaine St, Ste 104, Pasadena, CA 91105-3132 | 2008-04-03 |
1285815423 | David J. Lourie Md Inc | Surgery | 50 Bellefontaine St, Suite 302, Pasadena, CA 91105 | 2007-11-15 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619451697 | Tonya Michlin | Registered Nurse | 800 Fairmount Ave Ste 110, Pasadena, CA 91105 | 2018-09-17 |
1639674161 | David Marcus Md, Inc. | Psychiatry & Neurology | 107 S. Fair Oaks Avenue, Suite #315, Pasadena, CA 91105 | 2018-03-27 |
1548778541 | Elias & Jun Dental Corp | Dentist | 301 S. Fair Oaks Ave., Ste 107, Pasadena, CA 91105 | 2018-01-12 |
1013429745 | Whitney Catalano | Dietitian, Registered | 100 S Orange Grove Blvd, 103, Pasadena, CA 91105 | 2017-11-03 |
1518485630 | Marlon O Miller | Counselor | 1020 South Arroyo Parkway, Pasadena, CA 91105 | 2017-09-08 |
1316469976 | Alexandra Scott | Speech-Language Pathologist | 235 La Vereda Road, Pasadena, CA 91105 | 2017-07-14 |
1346770443 | Amanda Grace Gentz | Rehabilitation Practitioner | 210 S De Lacey, Ste 110, Pasadena, CA 91105 | 2017-06-13 |
1427598390 | Melina Gomez Loza | Licensed Vocational Nurse | 66 Hilburt St #2, Pasadena, CA 91105 | 2017-02-27 |
1588115281 | Ramon Banuelos | Rehabilitation Practitioner | 210 S. Delacey Ave Suite 110, Pasadena, CA 91105 | 2016-10-18 |
1922554245 | Daniel Joseph Ybarra | Student in an Organized Health Care Education/Training Program | 100 W. California Blvd. Pasadena, Ca 91105, Pasadena, CA 91105 | 2016-08-28 |
Find all providers in zip 91105 |
Taxonomy Code | 261QP2300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Primary Care |
Definition to come... |
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1073022091 | Memorial Hermann Community Benefit Corporation | Clinic/Center | 400 Park Ln, Suite M, Pasadena, TX 77506 | 2017-09-21 |
1861786782 | S.e. Complete Family Care | Clinic/Center | 1907 Southmore Ave # 5, Pasadena, TX 77502-1314 | 2011-06-08 |
1487956553 | Kkt Medical, Pllc | Clinic/Center | 2615 Strawberry Road, Pasadena, TX 77502 | 2010-11-23 |
1538482567 | Irina Jasper Md A Professional Corp | Clinic/Center | 960 E Green St Ste 286, Pasadena, CA 91106-2420 | 2010-03-04 |
1710538095 | Dareen Khalaf PCp Inc | Clinic/Center | 215 N Allen Ave, Pasadena, CA 91106-1601 | 2019-09-27 |
1740691047 | First Choice Mobile Medicine, Inc. | Clinic/Center | 1650 E Walnut St, Pasadena, CA 91106-1619 | 2014-05-08 |
1093136582 | Annie A. Barseghian Md Inc | Clinic/Center | 800 Fairmount Ave, Suite 210, Pasadena, CA 91105-3150 | 2013-12-30 |
1679826226 | Ayad Alanizi, Md, Inc. | Clinic/Center | 127 N Madison Ave Ste 106, Pasadena, CA 91101-1750 | 2012-10-19 |
1598033920 | Jacklin Poladian, M.d., Inc. | Clinic/Center | 301 S Fair Oaks Ave, Suite 403, Pasadena, CA 91105-2561 | 2011-12-13 |
1245526029 | Canyon Vista Healthcare Medical Corporation | Clinic/Center | 2319 E Washington Blvd, Suite One, Pasadena, CA 91104-1945 | 2011-06-21 |
Find all providers in PASADENA |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.