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Organization
INTEGRATED PAIN CARE
Active
Organization
INTEGRATED PAIN CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELIZABETH DOMINGO (AUTHORIZATION)
(510) 758-7462
Entity
Organization
Contact information
Practice address
2 MERCATO COURT, SAN FRANCISCO, CA 94131
(510) 758-7462
Mailing address
3065 RICHMOND PARKWAY, 101, RICHMOND, CA 94806
(510) 758-7462
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
A77502
CA
Other
Enumeration date
02/04/2010
Last updated
02/04/2010
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