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PAIN CENTER - SAN DIEGO PC NPI 1538710611


NPI Information

NPI: 1538710611
Provider Name: PAIN CENTER - SAN DIEGO PC

Doing Business As: PAIN CENTER - SAN DIEGO

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization

CLIA Number: 05D2187291

Address:
4033 3RD AVE STE 430
SAN DIEGO, CA
ZIP 92103
Phone: (619) 578-3740
Get Directions

PAIN CENTER - SAN DIEGO PC is a clinic center in San Diego, CA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). PAIN CENTER - SAN DIEGO PC NPI is 1538710611. The provider is registered as an organization entity type.
The provider Is Doing Business As Pain Center - San Diego.

The provider's business location address is:

4033 3RD AVE STE 430
SAN DIEGO, CA
ZIP 92103-117
Phone: (619) 578-3740
Fax: (858) 437-6702

The provider's authorized official is Sandra A Thompson .
The authorized official title is Owner and has the following contact phone number (619) 578-3740.

The CLIA number assigned to this NPI record is 05D2187291 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/20/2019 and was last updated on 2/11/2022.


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
1261Q00000XClinic/CenterYes

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.