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PAIN AND ADDICTION INTEGRATED PAIN NPI 1427095322


NPI Information

NPI: 1427095322
Provider Name: PAIN AND ADDICTION INTEGRATED PAIN

Other Name: THE PAIN INSTITUTE

Classification: Pain Medicine - 208VP0014X
Entity Type: Organization

Specialization: Interventional Pain Medicine

Address:
510 N PROSPECT AVE
SUITE 209
REDONDO BEACH, CA
ZIP 90277
Phone: (310) 798-1633
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PAIN AND ADDICTION INTEGRATED PAIN is an interventional pain medicine pain medicine in Redondo Beach, CA. The provider is interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. PAIN AND ADDICTION INTEGRATED PAIN NPI is 1427095322. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is The Pain Institute.

The provider's business location address is:

510 N PROSPECT AVE
SUITE 209
REDONDO BEACH, CA
ZIP 90277-028
Phone: (310) 798-1633
Fax: (310) 374-1576

The provider's authorized official is Rick Chavez .
The authorized official title is Owner and has the following contact phone number (310) 798-1633.

The enumeration date for this NPI number is 5/31/2006 and was last updated on 9/27/2011.


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
1208VP0014XPain MedicineInterventional Pain MedicineCALIFORNIAYes

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
1=========OTHERTAX ID
2W19649MEDICARE PINCALIFORNIA

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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