# ADVANCED PAIN MEDICAL GROUP, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ADVANCED PAIN MEDICAL GROUP, INC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1013478130
- **Legal business name:** ADVANCED PAIN MEDICAL GROUP, INC
- **Authorized official:** JACKIE SARIAN (PRACTICE ADMINISTRATOR)
- **Authorized official phone:** (818) 348-7246

## Contact information

- **Practice address:** 655 W AVENUE Q STE B, PALMDALE, CA 93551-3894
- **Practice address phone:** (818) 348-7246
- **Practice address fax:** (818) 348-7248
- **Mailing address:** 7230 MEDICAL CENTER DR STE 500, WEST HILLS, CA 91307-4024
- **Mailing address phone:** (818) 348-7246

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208VP0000X | Pain Medicine Physician | — | NULL | Yes |
| 208VP0000X | Pain Medicine Physician | — | — | Yes |
| 261QP3300X | Pain Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 03/29/2019
- **Last updated:** 03/29/2019