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EQUI-MED CORP NPI 1619110269


NPI Information

NPI: 1619110269
Provider Name: EQUI-MED CORP
Classification: Physical Medicine & Rehabilitation - 2081P2900X
Entity Type: Organization

Specialization: Pain Medicine

Address:
1252 N SIERRA BONITA AVE
PASADENA, CA
ZIP 91104
Phone: (805) 217-4998
Get Directions

EQUI-MED CORP is a pain medicine physical medicine rehabilitation in Pasadena, CA. The provider is a physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. EQUI-MED CORP NPI is 1619110269. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1252 N SIERRA BONITA AVE
PASADENA, CA
ZIP 91104-147
Phone: (805) 217-4998

The provider's authorized official is Brian John Costello .
The authorized official title is President and has the following contact phone number (805) 217-4998.

The enumeration date for this NPI number is 4/13/2009 and was last updated on 4/13/2009.


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
12081P2900XPhysical Medicine & RehabilitationPain MedicineA43746CALIFORNIAYes

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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