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PAIN REHABILITATION & CRITICAL CARE MEDICAL GROUP INC. NPI 1659569226


NPI Information

NPI: 1659569226
Provider Name: PAIN REHABILITATION & CRITICAL CARE MEDICAL GROUP, INC.
Classification: Anesthesiology - 207LP2900X
Entity Type: Organization

Specialization: Pain Medicine

Address:
400 N PEPPER AVE
2ND FLOOR-DEPT. OF ANESTHESIA
COLTON, CA
ZIP 92324
Phone: (909) 580-2440
Get Directions

PAIN REHABILITATION & CRITICAL CARE MEDICAL GROUP, INC. is a pain medicine anesthesiology in Colton, CA. The provider is an anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. PAIN REHABILITATION & CRITICAL CARE MEDICAL GROUP, INC. NPI is 1659569226. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

400 N PEPPER AVE
2ND FLOOR-DEPT. OF ANESTHESIA
COLTON, CA
ZIP 92324-801
Phone: (909) 580-2440

The provider's authorized official is Mark E Comunale .
The authorized official title is President and has the following contact phone number (909) 580-2440.

The enumeration date for this NPI number is 10/9/2007 and was last updated on 3/3/2008.


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
1207LC0200XAnesthesiologyCritical Care MedicineFNP36389CALIFORNIANo
2207LP2900XAnesthesiologyPain MedicineFNP36389CALIFORNIAYes

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
1FNP36389OTHERCALIFORNIAFICTITIOUS NAME PERMIT

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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