Advanced Pain Medical Group
Pain Medicine, Interventional Pain Medicine in Burbank, CA. Organization (NPI-2).
NPI number1124569009
StatusActive
Last updated in NPPESMar 13, 2017
Details
- NPI
- 1124569009
- Entity type
- Organization (NPI-2)
- Legal business name
- Advanced Pain Medical Group
- Organization subpart
- No
- Enumeration date
- Mar 13, 2017
- Last updated
- Mar 13, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208VP0014X | Pain Medicine, Interventional Pain Medicine | – | – | Yes |
| 207L00000X | Anesthesiology | – | – | |
| 208VP0000X | – | – |
Practice location
201 S Buena Vista StSuite 300
Burbank, CA 91505-4569
Phone 818-348-7246 · Fax 818-348-7248
Mailing address
7230 Medical Center DrSuite 500
West Hills, CA 91307-1907
Phone 818-348-7246 · Fax 818-348-7248
Authorized official
Vimal Satyjit Lala
President / Owner
8183487246
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