Beacon Tissue Clinic
Clinic/Center in Pasadena, CA. Organization (NPI-2).
NPI number1093619561
StatusActive
Last updated in NPPESOct 7, 2026
Details
- NPI
- 1093619561
- Entity type
- Organization (NPI-2)
- Legal business name
- Beacon Tissue Clinic
- Organization subpart
- No
- Enumeration date
- Oct 7, 2026
- Certification date
- Oct 7, 2026
- Last updated
- Oct 7, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
Practice location
117 E Colorado Blvd # 647Pasadena, CA 91105-1938
Phone 310-447-5653
Mailing address
117 E Colorado Blvd # 647Pasadena, CA 91105-1938
Phone 310-447-5653
Authorized official
Luz Yane
Ceo
3104475653
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