Pain Diagnostic And Treatment Center Lp in Sacramento - Ambulatory Surgical
Pain Diagnostic And Treatment Center Lp - NPI 1780689802
Pain Diagnostic And Treatment Center Lp is a Ambulatory Surgical in Sacramento, California. Pain Diagnostic And Treatment Center Lp practices all healthcare services and medical treatments related to Ambulatory Surgical. The NPI Number for Pain Diagnostic And Treatment Center Lp is 1780689802. The last update date is 2022-12-29.
Pain Diagnostic And Treatment Center Lp's current location address is 2805 J. St, Sacramento, California. You can contact this provider via phone number 9164629800 and fax number 9164629801. The mailing address for Pain Diagnostic And Treatment Center Lp is 2805 J. St, Sacramento, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pain Diagnostic And Treatment Center Lp |
|---|---|
| Address | 2805 J. St, Sacramento, California |
| Phone Number | 9164629800 |
| Fax Number | 9164629801 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OFFICER, A |
|---|---|
| Authorized Official Name | Boon Eric |
| Telephone Number | 4805670269 |
NPI Number Detail
| NPI Number | 1780689802 |
|---|---|
| Provider Enumeration Date | 2005-06-15 |
| Last Updated Date | 2022-12-29 |
Provider Mailing Address Detail
| Address | 2805 J. St |
|---|---|
| City | Sacramento |
| State | California (CA) |
| Post Code | 9581643070 |
| Phone Number | 9164629800 |
| Fax Number | 9164629801 |
Provider's Primary Taxonomy Detail
| Speciality | Ambulatory Surgical |
|---|---|
| Taxonomy | 261Qa1903X |
| Licence No | 30000705 |
|
Definition: Provides outpatient surgical services not requiring hospitalization. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 490004875 | CA | RAILROAD MEDICARE | |
| 153037 | CA | STATE OF WA DEPT OF LABOR | |
| 184315700 | CA | US DEPT OF LABOR | |
| SUR01481F | CA | -- | |
| ZZZH3417A | CA | BLUE SHIELD OF CA |
Post Comment/ Review Below
What is the unique identifier code issued to Pain Diagnostic And Treatment Center Lp by the Centers for Medicare & Medicaid Services (CMS)?
The Pain Diagnostic And Treatment Center Lp has been assigned the NPI (National Provider Identifier) 1780689802. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Pain Diagnostic And Treatment Center Lp?
The Pain Diagnostic And Treatment Center Lp is situated at 2805 J. St, in the city of Sacramento, state of CA, with the zip code 9581643070.
What is Pain Diagnostic And Treatment Center Lp's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Pain Diagnostic And Treatment Center Lp is Ambulatory Surgical, and the taxonomy code that classifies this field of practice is 261Qa1903X.
When was the Pain Diagnostic And Treatment Center Lp's 1780689802 issued?
The Pain Diagnostic And Treatment Center Lp's 1780689802 was issued on 2005-06-15.
As of what date were the Pain Diagnostic And Treatment Center Lp's details last updated?
The information pertaining to the Pain Diagnostic And Treatment Center Lp, including its address, specialty, and other details, was most recently updated on 2022-12-29.