San Dimas Pain Management Medical Center Inc.

NPI 1124004114 - Pain Medicine - 208VP0014X

NPI Details
NPI 1124004114
Enumeration Date 12/21/2005
Last Updated 06/28/2012
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name BERNADETTE A BERNADETTE
Position CHIEF OPERATING OFFICER
Phone (626) 294-4866
Fax (626) 294-4872
Practice Location
125 WHEELER AVE
SUITE C
ARCADIA CA, 91006-3220, US
Phone (626) 294-4866
Fax (626) 294-4872
Business Location
125 WHEELER AVE
SUITE C
ARCADIA CA, 91006-3220, US
Phone (626) 294-4866
Fax (626) 294-4872
Toxanomy
Taxonomy Code 208VP0014X
License State California
License Number A53113
Remove 1124004114 NPI Number
 

According to our database, San Dimas Pain Management Medical Center Inc. NPI is 1124004114, taxonomy code is 208VP0014X and license number is A53113, license state is located at California. San Dimas Pain Management Medical Center Inc. physically located at 125 Wheeler Ave, Arcadia CA, 91006-3220. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1124004114 NPI number is provided on an as is basis without warranty of any kind. 1124004114 is maintained by the National Plan & Provider Enumeration System. The contents of San Dimas Pain Management Medical Center Inc. are for informational purposes only.