# ENCINO PLACE PAIN MANAGEMENT AND SURGERY CENTER INC

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

## Provider details

- **NPI number:** 1104153931
- **Authorized official:** DR. SHUBHA M JAIN M.D. (MEDICAL DIRECTOR/OWNER)
- **Authorized official phone:** (818) 366-0474

## Contact information

- **Practice address:** 16101 VENTURA BLVD, SUITE \# 240, ENCINO, CA 91436-2500
- **Practice address phone:** (818) 357-5529
- **Practice address fax:** (818) 462-9035
- **Mailing address:** PO BOX 8000, NORTHRIDGE, CA 91327-8000
- **Mailing address phone:** (818) 802-3514
- **Mailing address fax:** (818) 462-9035

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/16/2009
- **Last updated:** 01/26/2012