NPI 1316647928
Immanuel Hartsfield
Practice location
- Address
- 500 S Los Robles Ave, Pasadena, CA 91101-3266
- Phone
- (847) 602-6639
- Mailing address
- 500 S Los Robles Ave APT 106, Pasadena, CA 91101-3244
Registered specialties
Developmentally Disabled Services Day Training Agency
Primary
Registry record
- NPI
- 1316647928
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 3 Mar 2023
- Record last updated
- 3 Mar 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.