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PAIN AND ADDICTION MEDICINE INC. NPI 1962075986


NPI Information

NPI: 1962075986
Provider Name: PAIN AND ADDICTION MEDICINE, INC.
Classification: Preventive Medicine - 2083A0300X
Entity Type: Organization

Specialization: Addiction Medicine

Address:
286 EUCLID AVE STE 207
SAN DIEGO, CA
ZIP 92114
Phone: (619) 210-9291
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PAIN AND ADDICTION MEDICINE, INC. is an addiction medicine preventive medicine in San Diego, CA. The provider is a physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction. PAIN AND ADDICTION MEDICINE, INC. NPI is 1962075986. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

286 EUCLID AVE STE 207
SAN DIEGO, CA
ZIP 92114-612
Phone: (619) 210-9291

The provider's authorized official is Aidan Mathew Clarke .
The authorized official title is Ceo and has the following contact phone number (619) 210-9291.

The enumeration date for this NPI number is 7/19/2021 and was last updated on 7/7/2023.


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
12084A0401XPsychiatry & NeurologyAddiction MedicineNo
22081P2900XPhysical Medicine & RehabilitationPain MedicineNo
32083A0300XPreventive MedicineAddiction 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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