# CENTER FOR PAIN MANAGEMENT

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

## Provider details

- **NPI number:** 1093595001
- **Authorized official:** DR. LEONARD BLOOM (CEO/PRESIDENT)
- **Authorized official phone:** (619) 888-7208

## Contact information

- **Practice address:** 4605 YERBA SANTA DR, SAN DIEGO, CA 92115-1034
- **Practice address phone:** (619) 888-7208
- **Mailing address:** 4605 YERBA SANTA DR, SAN DIEGO, CA 92115-1034
- **Mailing address phone:** (619) 888-7208

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 10/05/2023
- **Last updated:** 10/05/2023