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NORCAL PAIN TREATMENT CENTER CORP NPI 1720631708


NPI Information

NPI: 1720631708
Provider Name: NORCAL PAIN TREATMENT CENTER CORP
Classification: Physical Medicine & Rehabilitation - 2081P2900X
Entity Type: Organization

Specialization: Pain Medicine

CLIA Number: 05D2182311

Address:
1739 COLORADO AVE
TURLOCK, CA
ZIP 95382
Phone: (209) 448-3000
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NORCAL PAIN TREATMENT CENTER CORP is a pain medicine physical medicine rehabilitation in Turlock, CA. The provider is a physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. NORCAL PAIN TREATMENT CENTER CORP NPI is 1720631708. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1739 COLORADO AVE
TURLOCK, CA
ZIP 95382-714
Phone: (209) 448-3000
Fax: (209) 442-4116

The provider's authorized official is David Lindenberg .
The authorized official title is Owner and has the following contact phone number (209) 448-3000.

The CLIA number assigned to this NPI record is 05D2182311 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 7/19/2019 and was last updated on 3/29/2022.


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
12081P2900XPhysical Medicine & RehabilitationPain MedicineYes

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
1100150175MEDICAIDCALIFORNIA

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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