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TEMECULA VALLEY PAIN MEDICAL GROUP NPI 1619994365


NPI Information

NPI: 1619994365
Provider Name: TEMECULA VALLEY PAIN MEDICAL GROUP

Doing Business As: UNIVERSITY SPINE INSTITUTE

Classification: Pain Medicine - 208VP0014X
Entity Type: Organization

Specialization: Interventional Pain Medicine

Address:
28078 BAXTER RD
SUITE 128
MURRIETA, CA
ZIP 92563
Phone: (951) 894-5000
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TEMECULA VALLEY PAIN MEDICAL GROUP is an interventional pain medicine pain medicine in Murrieta, CA. The provider is interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. TEMECULA VALLEY PAIN MEDICAL GROUP NPI is 1619994365. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As University Spine Institute.

The provider's business location address is:

28078 BAXTER RD
SUITE 128
MURRIETA, CA
ZIP 92563-402
Phone: (951) 894-5000
Fax: (951) 296-1098

The provider's authorized official is Vance Zachary Johnson .
The authorized official title is Presidentceo and has the following contact phone number (951) 894-5000.

The enumeration date for this NPI number is 7/17/2006 and was last updated on 12/30/2013.


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
1208VP0014XPain MedicineInterventional Pain MedicineCALIFORNIAYes

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
1ZZZ28762ZMEDICARE PINCALIFORNIA
2DD1613MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIARAILROAD MEDICARE
3CC231AMEDICARE PINCALIFORNIA
4ZZZ09959ZOTHERCALIFORNIABLUE SHIELD ID #1
5ZZZ09960ZOTHERCALIFORNIABLUE SHIELD ID #2

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: 11/14/2023

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