Community Pain Management Medical Clinic INC
NPI #1811992068 in Riverside, California
Provider Information
- NPI Number
- 1811992068
- Entity Type
- Organization
- Organization Name
- Community Pain Management Medical Clinic INC
- Primary Specialty
- Pain Medicine - Interventional Pain Medicine
- Enumeration Date
- Jun 15, 2005
- Last Updated
- Apr 20, 2008
Practice Location
- Address
- 4500 BROCKTON AVE
- Address 2
- STE 305
- City
- Riverside
- State
- California
- ZIP Code
- 92501-4028
- Phone
- (951) 715-3963
Authorized Official
- Name
- DR. JAN PAUL MADDOX, M.D.,FIPP,ABA,ABPM
- Title
- MEDICAL DIRECTOR
- Phone
- (951) 715-3963
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pain Medicine - Interventional Pain Medicine — Interventional Pain Medicine |
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