JACKLIN POLADIAN, M.D., INC.
Ambulatory Health at Fair Oaks Ave, Pasadena, CA

License number
California A110327
Category
Ambulatory Health
Type
Primary Care
Owner
Name: DR. JACKLIN POLADIAN M.D.
Title: CHIEF EXECUTIVE OFFICER
Phone: (626) 200-4500
Address
Address
301 S Fair Oaks Ave SUITE 403, Pasadena, CA 91105
National Provider ID: 1598033920
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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JACKLIN POLADIAN, M.D., INC

301 S Fair Oaks Ave #403, Pasadena, CA 91105

Registration:
Oct 14, 2011
State ID:
C3419474
Business type:
Articles of Incorporation
President:
Jacklin Poladian (President)
Agent:
Legalzoom.com, Inc,Glendale, CA 91210 (Physical)

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