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

Lysander Jim, MD Inc

Organization Clinic/Center · NPI 1639619414

Lysander Jim, MD Inc is a Clinic/Center in Pasadena, California. Licensed in California. Registered with an NPI since 2017.

Licensed in
CA
In the registry since
2017
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

452 N Altadena Dr
Pasadena, CA 91107-2536
Phone: (626) 800-3860
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X · Licence 3985886 (CA)

Record details

NPI number1639619414
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lysander Jim — President · (626) 800-3860
NPI enumeratedFebruary 27, 2017
Last updated in NPPESFebruary 27, 2017
Mailing address601 Camino Verde, S Pasadena, CA 91030-4139

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