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Pacific Pain Managment

Case Management in Fountain Valley, CA. Organization (NPI-2).

NPI number1124384615
StatusActive
Last updated in NPPESApr 9, 2012

Details

NPI
1124384615
Entity type
Organization (NPI-2)
Legal business name
Pacific Pain Managment
Organization subpart
Yes
Enumeration date
Apr 9, 2012
Last updated
Apr 9, 2012

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251B00000X Case ManagementA52751CAYes

Practice location

8700 Warner Ave
Fountain Valley, CA 92708-3207

Phone 714-847-3322 · Fax 714-847-3993

Mailing address

8700 Warner Ave
Fountain Valley, CA 92708-3207

Phone 714-847-3322 · Fax 714-847-3993

Authorized official

Atef Rafla
Officer
7148473322

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Case Management Agency providers in Fountain Valley, CA

All 5 Case Management Agency providers in Fountain Valley · All 3,097 providers in Fountain Valley

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