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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

NPI Number 1366811176
LBN Legal business name PAIN MANAGEMENT A PROFESSIONAL CORPORATION
Authorized official RAAFAT GIRGIS - (MEDICAL DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 09/22/2015
Last updated 04/06/2018 - About 8 years ago
Identifiers
CA License # A52207
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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