Provider Type Icon

PAIN MANAGEMENT A PROFESSIONAL CORPORATION NPI 1366811176


NPI Information

NPI: 1366811176
Provider Name: PAIN MANAGEMENT A PROFESSIONAL CORPORATION

Doing Business As: INTEGRATED HEALTH

Classification: Psychiatry & Neurology - 2084P0802X
Entity Type: Organization

Specialization: Addiction Psychiatry

Address:
1601 DOVE ST STE 100
NEWPORT BEACH, CA
ZIP 92660
Phone: (877) 669-8511
Get Directions

PAIN MANAGEMENT A PROFESSIONAL CORPORATION is an addiction psychiatry psychiatry neurology in Newport Beach, CA. The provider is addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders. PAIN MANAGEMENT A PROFESSIONAL CORPORATION NPI is 1366811176. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Integrated Health.

The provider's business location address is:

1601 DOVE ST STE 100
NEWPORT BEACH, CA
ZIP 92660-410
Phone: (877) 669-8511

The provider's authorized official is Raafat W Girgis .
The authorized official title is Medical Director and has the following contact phone number (877) 669-8511.

The enumeration date for this NPI number is 9/22/2015 and was last updated on 4/6/2018.


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
12084P0015XPsychiatry & NeurologyPsychosomatic MedicineA52207CALIFORNIANo
22084P0800XPsychiatry & NeurologyPsychiatryA52207CALIFORNIANo
32084P0802XPsychiatry & NeurologyAddiction PsychiatryA52207CALIFORNIAYes
4363LP0808XNurse PractitionerPsychiatric/Mental HealthCALIFORNIANo

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.