MED TEC DIAGNOSTIC INC. (NPI# 1477893782) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477893782 |
| Entity Type | Organization |
| Organization Name | MED TEC DIAGNOSTIC INC. |
| Practice Address |
1310 N. Mar Vista Unit 3 Pasadena CA 91104 |
| Mailing Address |
1310 N Mar Vista Ave Unit 3 Pasadena CA 91104-2953 |
| Practice Telephone | 8182091144 |
| Mailing Telephone | 8182091144 |
| Enumeration Date | 2013-02-22 |
| Last Update Date | 2013-02-22 |
| Authorized Official Name | MR. AVETIS TERTERYAN (PRESIDENT) |
| Authorized Official Telephone | 8182091144 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
| Street Address |
1310 N. MAR VISTA UNIT 3 |
| City | PASADENA |
| State | CA |
| Zip Code | 91104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093284382 | Jack Lee Johnson II | Counselor | 1680 North Fair Oaks, Pasadena, CA 91104 | 2018-11-16 |
| 1699257055 | Aqueelah Russell | Lactation Consultant, Non-RN | 855 N. Catalina Ave, Pasadena, CA 91104 | 2018-09-02 |
| 1053893529 | Jordann Ashley Stewart | Case Manager/Care Coordinator | 691 East Washington Blvd, Pasadena, CA 91104 | 2018-08-31 |
| 1942789706 | Elmer Caballero | Case Manager/Care Coordinator | 691 E Washington Blvd, Pasadena, CA 91104 | 2018-08-12 |
| 1649759648 | Orlando Javier Sava Jr. | Case Manager/Care Coordinator | 1395 E. Orange Grove Blvd, Pasadena, CA 91104 | 2018-08-09 |
| 1669923611 | Grandview Foundation, Inc. | Substance Abuse Rehabilitation Facility | 225 Grandview Street, Pasadena, CA 91104 | 2016-10-14 |
| 1255734166 | Linhua Wang-kim | Massage Therapist | 1028 N. Lake Ave., Suite 108c, Pasadena, CA 91104 | 2014-10-06 |
| 1750631321 | Gordon Sheldall | Marriage & Family Therapist | 1495 N Lake Avenue, Pasadena, CA 91104 | 2012-09-11 |
| 1699024521 | Sherry Lynn Wait | Marriage & Family Therapist | 1495 N. Lake Ave., Pasadena, CA 91104 | 2012-09-06 |
| 1770832883 | Lucinda Doty Grush | Marriage & Family Therapist | 1495 N. Lake Ave, Pasadena, CA 91104 | 2012-09-05 |
| Find all providers in zip 91104 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134736705 | Boston Medical Center Inc | Clinic/Center | 960 E Green St Ste 101, Pasadena, CA 91106-2401 | 2020-09-28 |
| 1518327675 | Pace-rx, LLC | Clinic/Center | 8039 Ritchie Hwy Ste A, Pasadena, MD 21122-7122 | 2016-03-02 |
| 1881914646 | K Kay Durairaj Md A Medical Corporation | Clinic/Center | 800 S. Fairmount Ave, Pasadena, CA 91105-3152 | 2010-06-03 |
| 1912239856 | Accatur Diagnostics 1, LLC | Clinic/Center | 1000 Laguna Rd, Pasadena, CA 91105-2320 | 2010-02-03 |
| 1760545826 | Pasadena Family Clinic | Clinic/Center | 1907 Southmore Ave, Pasadena, TX 77502-1314 | 2006-12-19 |
| 1164900965 | Wuxia Integrative Medicine | Clinic/Center | 2595 E Washington Blvd Ste 108, Pasadena, CA 91107-1409 | 2018-08-02 |
| 1194228312 | Morning Acupuncture Pllc | Clinic/Center | 308 Preston Ave, Pasadena, TX 77503-1215 | 2018-03-14 |
| 1255888194 | Peak Performance Rehab & Wellness, LLC | Clinic/Center | 4301 Vista Rd, Ste. 110, Pasadena, TX 77504-2117 | 2016-09-08 |
| 1083966618 | Kang Eastern Medicine Inc | Clinic/Center | 525 E Colorado Blvd, Penthouse, Pasadena, CA 91101-5226 | 2012-10-05 |
| 1568788016 | Ted Shen M.d., Inc | Clinic/Center | 960 E Green St, Suite 101, Pasadena, CA 91106-2401 | 2010-04-08 |
| Find all providers in PASADENA | ||||
Please comment or provide details below to improve the information on MED TEC DIAGNOSTIC INC..
| 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.