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FOOTHILLS PAIN MANAGEMENT CLINIC PC NPI 1487885372


NPI Information

NPI: 1487885372
Provider Name: FOOTHILLS PAIN MANAGEMENT CLINIC PC
Classification: Pain Medicine - 208VP0014X
Entity Type: Organization

Specialization: Interventional Pain Medicine

CLIA Number: 05D2131786

Address:
236 W COLLEGE ST
COVINA, CA
ZIP 91723
Phone: (626) 608-7320
Get Directions

FOOTHILLS PAIN MANAGEMENT CLINIC PC is an interventional pain medicine pain medicine in Covina, 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. FOOTHILLS PAIN MANAGEMENT CLINIC PC NPI is 1487885372. The provider is registered as an organization entity type.

The provider's business location address is:

236 W COLLEGE ST
COVINA, CA
ZIP 91723-902
Phone: (626) 608-7320
Fax: (626) 608-7322

The provider's authorized official is Hetal Mehta .
The authorized official title is Administrator and has the following contact phone number (626) 608-7320.

The CLIA number assigned to this NPI record is 05D2131786 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/27/2009 and was last updated on 9/26/2023.


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
1332B00000XDurable Medical Equipment & Medical SuppliesNo
2207LP2900XAnesthesiologyPain MedicineC52522CALIFORNIANo
3208VP0014XPain MedicineInterventional Pain MedicineYes

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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