Community Pain Management Medical Clinic Inc in Riverside - Interventional Pain Medicine
Community Pain Management Medical Clinic Inc - NPI 1811992068
Community Pain Management Medical Clinic Inc is a Interventional Pain Medicine in Riverside, California. Community Pain Management Medical Clinic Inc practices all healthcare services and medical treatments related to Interventional Pain Medicine. The NPI Number for Community Pain Management Medical Clinic Inc is 1811992068. The last update date is 2008-04-20.
Community Pain Management Medical Clinic Inc's current location address is Po Box 1509, Riverside, California. You can contact this provider via phone number 9517153963 and fax number 9517153960. The mailing address for Community Pain Management Medical Clinic Inc is Po Box 1509, Riverside, California. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Community Pain Management Medical Clinic Inc |
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Address | Po Box 1509, Riverside, California |
Phone Number | 9517153963 |
Fax Number | 9517153960 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | MEDICAL DI |
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Authorized Official Name | Maddox Paul Jan |
Credentials | M.D.,FIPP, |
Telephone Number | 9517153963 |
NPI Number Detail
NPI Number | 1811992068 |
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Provider Enumeration Date | 2005-06-15 |
Last Updated Date | 2008-04-20 |
Provider Mailing Address Detail
Address | Po Box 1509 |
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City | Riverside |
State | California (CA) |
Post Code | 9250215090 |
Phone Number | 9517153963 |
Fax Number | 9517153960 |
Provider's Primary Taxonomy Detail
Speciality | Interventional Pain Medicine |
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Taxonomy | 208Vp0014X |
Licence No | A32046 |
Definition: Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable p |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
00A320460 | CA | MEDI-CAL ID NUMBER | |
ZZZ05981Z | CA | BLUE SHIELD ID |
Post Comment/ Review Below
What is the Community Pain Management Medical Clinic Inc's unique identification number?
The Community Pain Management Medical Clinic Inc has been assigned the NPI (National Provider Identifier) Number 1811992068 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Community Pain Management Medical Clinic Inc's facilities are situated?
The facilities of Community Pain Management Medical Clinic Inc are physically located at the following address: Po Box 1509, Riverside, CA, 9250215090.
What is Community Pain Management Medical Clinic Inc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Community Pain Management Medical Clinic Inc's area of specialization is Interventional Pain Medicine, and the corresponding taxonomy code that categorizes this field of practice is 208Vp0014X.
On what date did the Centers for Medicare & Medicaid Services issue the 1811992068 to Community Pain Management Medical Clinic Inc?
The Community Pain Management Medical Clinic Inc received its 1811992068 assignment from the Centers for Medicare & Medicaid Services on 2005-06-15.
When was the Community Pain Management Medical Clinic Inc's information last updated?
The Community Pain Management Medical Clinic Inc's information was last updated on 2008-04-20.
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