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Organization
ADVANCED PAIN MEDICAL GROUP, INC.
Active
Organization
ADVANCED PAIN MEDICAL GROUP, INC.
Active
Parent organization
ADVANCED PAIN MEDICAL GROUP, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ADVANCED PAIN MEDICAL GROUP, INC
Authorized official
JACKIE SARIAN (PRACTICE ADMINISTRATOR)
(818) 348-7246
Entity
Organization
Contact information
Practice address
655 W AVENUE Q STE B, PALMDALE, CA 93551-3894
(818) 348-7246
(818) 348-7248
Mailing address
7230 MEDICAL CENTER DR STE 500, WEST HILLS, CA 91307-4024
(818) 348-7246
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
NULL
208VP0000X
Pain Medicine Physician
Primary
—
—
261QP3300X
Pain Clinic/Center
—
NULL
Other
Enumeration date
03/29/2019
Last updated
03/29/2019
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