CORONA PAIN MANAGEMENT CENTER NPI 1760740674

NPI Information

  • NPI: 1760740674
  • Provider Name: CORONA PAIN MANAGEMENT CENTER
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Doing Business As: CORONA SPECIALTY CARE SURGERY CENTER
  • CLIA Number: 05D2046285
  • Address: 1810 FULLERTON AVE
    SUITE 103
    CORONA, CA
    ZIP 92881
  • Phone: (951) 734-7246

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NPI Details

CORONA PAIN MANAGEMENT CENTER is an ambulatory surgical clinic center in Corona, CA. CORONA PAIN MANAGEMENT CENTER NPI is 1760740674. The provider is registered as an organization entity type.
The provider Is Doing Business As Corona Specialty Care Surgery Center.

The provider's business location address is:

1810 FULLERTON AVE
SUITE 103
CORONA, CA
ZIP 92881-103
Phone: (951) 734-7246

The provider's authorized official is Khuram A Sial .
The authorized official title is President and has the following contact phone number (951) 734-7246.

The CLIA number assigned to this NPI record is 05D2046285 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/27/2012 and was last updated on 3/14/2024.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA1903XClinic/CenterAmbulatory SurgicalYes

What is NPI?

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This page was last updated on: 11/21/2025

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