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Contact Information

PAIN MANAGEMENT A PROFESSIONAL CORPORATION
1601 DOVE ST STE 100
NEWPORT BEACH, CA92660-2410
 Phone: 877-669-8511
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction Psychiatry

2084P0802X 86 Physician/Neuropsychiatry
 

Psychiatric/Mental Health

363LP0808X 50 Nurse Practitioner
 

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Psychosomatic Medicine

2084P0015X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for PAIN MANAGEMENT A PROFESSIONAL CORPORATION · (Female)

NPI Number 1366811176
Status Active
Credentials
Entity Individual
Enumeration date 09/22/2015
Last updated 04/06/2018 - About 8 years ago
Sole proprietor 1 Not specified
Identifiers
  • CA License # A52207
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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