# ALEXANDER P. HERSEL, M.D., INC

> 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:** Pain Management & Injury Relief Medical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063511475
- **Authorized official:** ALEXANDER P HERSEL (OWNER)
- **Authorized official phone:** (805) 367-7522

## Contact information

- **Practice address:** 1120 NEWBURY RD \# 150, THOUSAND OAKS, CA 91320-3663
- **Practice address phone:** (805) 557-0096
- **Practice address fax:** (805) 557-7360
- **Mailing address:** 415 ROLLING OAKS DR, 110, THOUSAND OAKS, CA 91361-1029
- **Mailing address phone:** (805) 557-0096
- **Mailing address fax:** (805) 557-7360

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | A79277 | CA | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | A79277 | CA | Yes |

## Other

- **Enumeration date:** 09/22/2006
- **Last updated:** 04/09/2019