# PAIN ALLEVIA MEDICAL CORPORATION

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

## Provider details

- **NPI number:** 1053659995
- **Authorized official:** DR. TIMOTHY DANIEL CHONG M.D. (OWNER/ PRESIDENT)
- **Authorized official phone:** (808) 392-0512

## Contact information

- **Practice address:** 15611 POMERADO RD, SUITE 525, POWAY, CA 92064-2437
- **Practice address phone:** (858) 613-6252
- **Practice address fax:** (858) 798-1225
- **Mailing address:** PO BOX 5333, TORRANCE, CA 90510-5333
- **Mailing address phone:** (714) 777-2469
- **Mailing address fax:** (714) 777-2427

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208VP0000X | Pain Medicine Physician | A103353 | CA | Yes |

## Other

- **Enumeration date:** 01/28/2013
- **Last updated:** 01/28/2013