Advanced Interventional Pain Center La

NPI 1174899686 - Pain Medicine - 208VP0014X

NPI Details
NPI 1174899686
Enumeration Date 03/29/2012
Last Updated 03/29/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name PATTANAM PATTANAM
Position CLINICAL DIRECTOR
Phone (310) 272-9630
Fax
Practice Location
11645 WILSHIRE BLVD
SUITE 852
LOS ANGELES CA, 90025-6808, US
Phone (310) 272-9630
Fax
Business Location
11645 WILSHIRE BLVD
SUITE 852
LOS ANGELES CA, 90025-6808, US
Phone (310) 272-9630
Fax
Toxanomy
Taxonomy Code 208VP0014X
License State California
License Number C53502
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According to our database, Advanced Interventional Pain Center La NPI is 1174899686, taxonomy code is 208VP0014X and license number is C53502, license state is located at California. Advanced Interventional Pain Center La physically located at 11645 Wilshire Blvd, Los Angeles CA, 90025-6808. NPI Number 1033115704 has the healthcare provider type.

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1174899686 NPI number is provided on an as is basis without warranty of any kind. 1174899686 is maintained by the National Plan & Provider Enumeration System. The contents of Advanced Interventional Pain Center La are for informational purposes only.