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INNOVATIVE PAIN MANAGEMENT MEDICAL GROUP NPI 1902330285


NPI Information

NPI: 1902330285
Provider Name: INNOVATIVE PAIN MANAGEMENT MEDICAL GROUP
Classification: Physical Medicine & Rehabilitation - 2081P2900X
Entity Type: Organization

Specialization: Pain Medicine

Address:
610 EUCLID AVE
SUITE 301
NATIONAL CITY, CA
ZIP 91950
Phone: (619) 434-4019
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INNOVATIVE PAIN MANAGEMENT MEDICAL GROUP is a pain medicine physical medicine rehabilitation in National City, 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. INNOVATIVE PAIN MANAGEMENT MEDICAL GROUP NPI is 1902330285. The provider is registered as an organization entity type.

The provider's business location address is:

610 EUCLID AVE
SUITE 301
NATIONAL CITY, CA
ZIP 91950-951
Phone: (619) 434-4019
Fax: (619) 434-4023

The provider's authorized official is Brenton D Wynn .
The authorized official title is President and has the following contact phone number (619) 434-4019.

The enumeration date for this NPI number is 4/13/2017 and was last updated on 4/13/2017.


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
1261QP3300XClinic/CenterPainCALIFORNIANo
22081P2900XPhysical Medicine & RehabilitationPain MedicineA73257CALIFORNIAYes

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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