Organization · NPI-2

Advanced Pain Control

Psychiatry & Neurology, Neurology · Los Angeles, CA

NPI number1679840045
StatusActive
Last updated in NPPESNov 29, 2011

Details

NPI
1679840045
Entity type
Organization (NPI-2)
Legal business name
Advanced Pain Control
Organization subpart
No
Enumeration date
Nov 29, 2011
Last updated
Nov 29, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2084N0400X Psychiatry & Neurology, Neurology––Yes

Practice location

4601 Wilshire Blvd
3rd Floor
Los Angeles, CA 90010-3880

Phone 323-556-3470

Mailing address

4601 Wilshire Blvd
3rd Floor
Los Angeles, CA 90010-3880

Phone 323-556-3470

Authorized official

Maria Brickman
Doctor
3235563470

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