Edico Health Care Corporation

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

EDICO HEALTH CARE CORPORATION

Doing business as

EDICO Pain Management and Rehabilitation Wellness Clinic

Practice address

1737 E. Washington Blvd.
Pasadena, CA 91104

Phone

(626) 794-1570

NPI assigned

Jul 20, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Marciano Pingue Tamayo

Title

VP for Operations

Phone

(626) 794-1570

Specialties & licenses 4

Addresses

Other names 1

• EDICO Pain Management and Rehabilitation Wellness Clinic Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1248048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248048000000",
    "number": "1184854671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1737 E WASHINGTON BLVD",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911042768",
            "telephone_number": "626-794-1570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1737 E. WASHINGTON BLVD.",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "91104",
            "telephone_number": "626-794-1570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDICO HEALTH CARE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-20",
        "last_updated": "2009-07-20",
        "status": "A",
        "authorized_official_last_name": "TAMAYO",
        "authorized_official_first_name": "MARCIANO",
        "authorized_official_middle_name": "PINGUE",
        "authorized_official_title_or_position": "VP FOR OPERATIONS",
        "authorized_official_telephone_number": "626-794-1570",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2081S0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EDICO Pain Management and Rehabilitation Wellness Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Fatima Eddahbi
• Kalman J Edelman, M.D.
• Opeyemi Edgal
• Deborah Boatwright Edgar, MFT
• Holly Leigh Edge-Booth, PH.D.
• Brittany Edinger
• Edmed Home Health Inc
• Walter Allan Edmiston Jr., MD
• Ilar Karisma Edun, MSW, ACSW
• Edward a Helfand DPM a Professional Corporation

• Physical Medicine & Rehabilitation Physician in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Physical Medicine & Rehabilitation Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.