Dr. Gary Conrad, M.D.
Internal Medicine, Cardiovascular Disease in Pasadena, CA. Individual provider (NPI-1).
NPI number1669424271
StatusActive
Last updated in NPPESFeb 26, 2020
Details
- NPI
- 1669424271
- Entity type
- Individual (NPI-1)
- Name
- Dr. Gary Conrad
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 16, 2006
- Certification date
- Feb 26, 2020
- Last updated
- Feb 26, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RC0000X | Internal Medicine, Cardiovascular Disease | C37034 | CA | Yes |
| 207RH0005X | Internal Medicine, Hypertension Specialist | A58771 | CA |
Practice location
625 S Fair Oaks AveSuite 215
Pasadena, CA 91105-2613
Phone 626-793-4139 · Fax 626-304-8280
Mailing address
3452 E Foothill BlvdSte 130
Pasadena, CA 91107-6006
Phone 626-793-2885 · Fax 626-793-6262
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