Advance Pain Management Group
NPI #1538466651 in Northridge, California
Provider Information
- NPI Number
- 1538466651
- Entity Type
- Organization
- Organization Name
- Advance Pain Management Group
- Primary Specialty
- Health Maintenance Organization
- Enumeration Date
- Feb 25, 2011
- Last Updated
- Jan 26, 2012
Practice Location
- Address
- 11177 TAMPA AVE.
- Address 2
- SUITE B
- City
- Northridge
- State
- California
- ZIP Code
- 91326-2254
- Phone
- (818) 366-0474
Authorized Official
- Name
- MRS. SHUBHA M JAIN, M.D.
- Title
- CHIEF EXECUTIVE
- Phone
- (818) 366-0474
Specialties & Taxonomy Codes
| Specialty |
|---|
| Health Maintenance Organization |
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