Pain And Rehabilitation Medical Group, A Medical Corporation
Anesthesiology, Pain Medicine in Torrance, CA. Organization (NPI-2).
NPI number1720183973
StatusActive
Last updated in NPPESNov 21, 2024
Details
- NPI
- 1720183973
- Entity type
- Organization (NPI-2)
- Legal business name
- Pain And Rehabilitation Medical Group, A Medical Corporation
- Organization subpart
- No
- Enumeration date
- Sep 13, 2006
- Certification date
- Nov 21, 2024
- Last updated
- Nov 21, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207LP2900X | Anesthesiology, Pain Medicine | G55631 | CA | Yes |
| 207LP2900X | Anesthesiology, Pain Medicine | G60934 | CA | |
| 2084P2900X | Psychiatry & Neurology, Pain Medicine | PSY4695 | CA |
Practice location
3655 Lomita Blvd Ste 206Torrance, CA 90505-1930
Phone 310-791-4980 · Fax 310-791-4989
Mailing address
3655 Lomita Blvd Ste 206Torrance, CA 90505-1930
Phone 310-791-4980 · Fax 310-791-4989
Authorized official
Fabian A Proano
President
3107914980
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