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Contact Information

ARROYO VISTA ADVANCED PAIN SPECIALISTS, INC.
865 PATRIOT DR
SUITE 201A
MOORPARK, CA93021-3407
 Phone: 805-222-4549
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Non-Pharmacy Dispensing Site

332900000X 87 All Other Suppliers
Indicates primary specialty

NPI Profile & details for ARROYO VISTA ADVANCED PAIN SPECIALISTS, INC.

NPI Number 1578993242
LBN Legal business name ARROYO VISTA ADVANCED PAIN SPECIALISTS, INC.
Authorized official LANA LOUIE WANIA-GALICIA - (PRESIDENT & CHIEF MEDICAL OFFICER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 11/18/2013
Last updated 11/18/2013 - About 13 years ago
Identifiers
CA License # A80078
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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