COMPREHENSIVE PAIN ASC LLC NPI 1124406632

NPI Information

NPI: 1124406632
Provider Name: COMPREHENSIVE PAIN ASC, LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 05D2115420

Address:
16466 BERNARDO CENTER DR
SUITE 177
SAN DIEGO, CA
ZIP 92128
Phone: (858) 453-7700
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COMPREHENSIVE PAIN ASC, LLC is an ambulatory surgical clinic center in San Diego, CA. COMPREHENSIVE PAIN ASC, LLC NPI is 1124406632. The provider is registered as an organization entity type.

The provider's business location address is:

16466 BERNARDO CENTER DR
SUITE 177
SAN DIEGO, CA
ZIP 92128-508
Phone: (858) 453-7700

The provider's authorized official is Christopher Jg Chisholm .
The authorized official title is President and has the following contact phone number (858) 453-7700.

The CLIA number assigned to this NPI record is 05D2115420 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/16/2015 and was last updated on 5/16/2015.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical			Yes

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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