# PAIN DIAGNOSIS & TREATMENT INC., A MEDICAL CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043493570
- **Authorized official:** MS. TERRI WICKMAN (BILLER)
- **Authorized official phone:** (626) 857-7400

## Contact information

- **Practice address:** 10630 DOWNEY AVE, SUITE 102, DOWNEY, CA 90241-3463
- **Practice address phone:** (562) 861-5170
- **Mailing address:** 210 S GRAND AVE, SUITE 315, GLENDORA, CA 91741-4205
- **Mailing address phone:** (626) 857-7400
- **Mailing address fax:** (626) 857-7404

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | A020970 | CA | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | A43746 | CA | Yes |

## Other

- **Enumeration date:** 12/06/2007
- **Last updated:** 01/12/2011