Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103G00000X | Clinical Psychologist | PSY8305 | CA |
N | 103TC0700X | Clinical Psychologist | PSY8305 | CA |
Y | 103G00000X | Clinical Psychologist | PSY8305 | CA |
Y | 103TC0700X | Clinical Psychologist | PSY8305 | CA |
N | 103TR0400X | Rehabilitation Psychologist | PSY8305 | CA |
NPI | 1205088390 |
---|---|
Provider Name | Dr. James Angelo Pasino |
First Address | Orange, CA 92869-1829 |
Second Address | Downey, CA 90241-3739 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/10/2008 |
Last Update Date | 21/10/2008 |