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LYSANDER JIM, M.D. INC
NPI 1639619414
Clinic/Center in Pasadena, CA

Active since February 27, 2017
452 N ALTADENA DR, PASADENA, CA 91107(626) 800-3860 Get Directions Write a Review

NPPES record last updated: February 27, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lysander Jim, M.d. Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LYSANDER JIM, M.D. INC (NPI 1639619414) is a healthcare organization registered as a clinic/center in Pasadena, California and active in the NPI registry since February 2017. The organization lists Lysander Jim, President, as its authorized official.

NPPES Registry Identity

NPI1639619414
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameLYSANDER JIM, M.D. INC
Location Address452 N ALTADENA DRPasadena, CA 91107-2536
Mailing Address601 Camino VerdeS Pasadena, CA 91030-4139 · (626) 800-3860
Phone(626) 800-3860
Organization SubpartNo
Authorized OfficialLysander JimPresident · (626) 800-3860
Enumeration DateFebruary 27, 2017
✔ NPI 1639619414 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in CA · 3985886
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
452 N ALTADENA DR, Pasadena, CA 91107
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lysander Jim, M.D. Inc's NPI number?

The NPI number for Lysander Jim, M.D. Inc is 1639619414. It was assigned to this organization in the NPPES registry on February 27, 2017.

Where is Lysander Jim, M.D. Inc located?

Lysander Jim, M.D. Inc is located at 452 N Altadena Dr, Pasadena, CA 91107. The listed phone number is (626) 800-3860.

What is Lysander Jim, M.D. Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Lysander Jim, M.D. Inc was last updated on February 27, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.