05D1094762 CLIA NUMBER - UNIVERSITY PAIN CONSULTANTS INC

Laboratory Demographics

CLIA Number: 05D1094762

Facility Name: UNIVERSITY PAIN CONSULTANTS INC

Facility Address:
6900 BROCKTON AVE STE 103
RIVERSIDE, CA
ZIP 92506
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Facility Phone Number: 951 784-7111

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1467649657

Taxonomy: 207LP2900X - Anesthesiology
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.

CLIA Record

Field Name	Field Value
CLIA Number	05D1094762
LAB Type	Physician Office
Facility Name	UNIVERSITY PAIN CONSULTANTS INC
Street	6900 BROCKTON AVE STE 103
City	RIVERSIDE
State	CA
ZIP	92506
Phone	951 784-7111
CertificateType	4
CertificateEffectiveDate	1/26/2023
CertificateExpirationDate	1/25/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024