Provider Demographics
NPI:1205088390
Name:PASINO, JAMES ANGELO (PHD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:ANGELO
Last Name:PASINO
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7732 E SANTIAGO CANYON RD
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92869-1829
Mailing Address - Country:US
Mailing Address - Phone:714-744-0630
Mailing Address - Fax:714-744-0630
Practice Address - Street 1:10927 DOWNEY AVE
Practice Address - Street 2:SUITE C
Practice Address - City:DOWNEY
Practice Address - State:CA
Practice Address - Zip Code:90241-3739
Practice Address - Country:US
Practice Address - Phone:714-744-0630
Practice Address - Fax:714-744-0630
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-21
Last Update Date:2008-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY8305103G00000X, 103TC0700X, 103TR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist
No103TR0400XBehavioral Health & Social Service ProvidersPsychologistRehabilitation