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ADVANCED PAIN CLINIC INC. NPI 1568592657


NPI Information

NPI: 1568592657
Provider Name: ADVANCED PAIN CLINIC, INC.
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
7151 LINCOLN AVE STE K
BUENA PARK, CA
ZIP 90620
Phone: (714) 952-1080
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ADVANCED PAIN CLINIC, INC. is a specialist in Buena Park, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. ADVANCED PAIN CLINIC, INC. NPI is 1568592657. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

7151 LINCOLN AVE STE K
BUENA PARK, CA
ZIP 90620-615
Phone: (714) 952-1080
Fax: (714) 952-1660

The provider's authorized official is Khanh Minh Lam .
The authorized official title is Ceo, President and has the following contact phone number (714) 952-1080.

The enumeration date for this NPI number is 3/7/2007 and was last updated on 10/18/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1171100000XAcupuncturistAC3621CALIFORNIANo
2174400000XSpecialistA84750CALIFORNIANo
3174400000XSpecialistYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1122609MEDICARE UPINCALIFORNIA
21649594979OTHERCALIFORNIANPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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