Innovative Pain Management Medical Group
NPI #1902330285 in National City, California
Provider Information
- NPI Number
- 1902330285
- Entity Type
- Organization
- Organization Name
- Innovative Pain Management Medical Group
- Primary Specialty
- Physical Medicine & Rehabilitation - Pain Medicine
- Enumeration Date
- Apr 13, 2017
- Last Updated
- Apr 13, 2017
Practice Location
- Address
- 610 EUCLID AVE
- Address 2
- SUITE 301
- City
- National City
- State
- California
- ZIP Code
- 91950-2951
- Phone
- (619) 434-4019
Authorized Official
- Name
- BRENTON D WYNN, M.D.
- Title
- PRESIDENT
- Phone
- (619) 434-4019
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Pain — Pain |
| Physical Medicine & Rehabilitation - Pain Medicine — Pain Medicine |
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