Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Andre Panossian MD a Professional Corporation

Organization Plastic Surgery Physician · NPI 1679973366

Andre Panossian MD a Professional Corporation is a Plastic Surgery Physician in Pasadena, California. Licensed in California. Registered with an NPI since 2014.

Licensed in
CA
In the registry since
2014

Practice location Address checks out

39 Congress St Ste 402
Pasadena, CA 91105-3024
Phone: (800) 958-3778
Fax: (800) 958-3778
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X · Licence A76052 (CA)

Record details

NPI number1679973366
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Andre Panossian — Owner · (800) 958-3778
NPI enumeratedAugust 29, 2014
Last updated in NPPESSeptember 29, 2019
Mailing address39 Congress St Ste 402, Pasadena, CA 91105-3024

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