# CASTORIA SEYMORE, JR. MD A PROFESSIONAL CORPERATION

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** southern california pain management center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043408941
- **Authorized official:** MISS CASTORIA SEYMORE JR. MD (MEDICAL DIRECTOR)
- **Authorized official phone:** 13104826906

## Contact information

- **Practice address:** 4644 LINCOLN BLVD, 424, MARINA DEL REY, CA 90292-6313
- **Practice address phone:** (131) 048-2690
- **Practice address fax:** (131) 048-2695
- **Mailing address:** 4644 LINCOLN BLVD, 424, MARINA DEL REY, CA 90292-6313
- **Mailing address phone:** (131) 048-2690
- **Mailing address fax:** (131) 048-2695

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/05/2007
- **Last updated:** 10/05/2007