Advanced Interventional Pain And Wellness Center INC
Clinic/Center, Medical Specialty in Riverside, CA. Organization (NPI-2).
NPI number1053568030
StatusActive
Last updated in NPPESApr 13, 2017
Details
- NPI
- 1053568030
- Entity type
- Organization (NPI-2)
- Legal business name
- Advanced Interventional Pain And Wellness Center INC
- Organization subpart
- No
- Enumeration date
- Aug 21, 2008
- Last updated
- Apr 13, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM2500X | Clinic/Center, Medical Specialty | A66008 | CA | Yes |
| 261Q00000X | Clinic/Center | – | – |
Practice location
6700 Indiana AveSuite 145
Riverside, CA 92506-4290
Phone 951-248-9240 · Fax 951-248-9263
Mailing address
218 Avenida La CuestaSan Clemente, CA 92672-2139
Phone 949-444-1885 · Fax 888-873-6807
Authorized official
Larry Gilbert Ding
Medical Director
9494441886
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