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ADVANCED PAIN MANAGEMENT & WELLNESS A MEDICAL CORPORATION NPI 1871936450


NPI Information

NPI: 1871936450
Provider Name: ADVANCED PAIN MANAGEMENT & WELLNESS, A MEDICAL CORPORATION

Other Name: JOSE HERNANDEZ, PA-C

Classification: Clinic/Center - 261QP3300X
Entity Type: Organization

Specialization: Pain

Address:
1930 WILSHIRE BLVD
804
LOS ANGELES, CA
ZIP 90057
Phone: (213) 413-0413
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ADVANCED PAIN MANAGEMENT & WELLNESS, A MEDICAL CORPORATION is a pain clinic center in Los Angeles, CA. ADVANCED PAIN MANAGEMENT & WELLNESS, A MEDICAL CORPORATION NPI is 1871936450. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Jose Hernandez, Pa-c.

The provider's business location address is:

1930 WILSHIRE BLVD
804
LOS ANGELES, CA
ZIP 90057-605
Phone: (213) 413-0413
Fax: (213) 947-4075

The provider's authorized official is Jose Hernandez .
The authorized official title is President and has the following contact phone number (213) 413-0413.

The enumeration date for this NPI number is 4/12/2013 and was last updated on 3/10/2015.


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
1174400000XSpecialistG075155CALIFORNIANo
2261QP3300XClinic/CenterPainYes

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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