# I MICHAEL MINEHART M D INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Advanced Pain Institute
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114360088
- **Authorized official:** DR. ISAAC M MINEHART M.D. (MEDICAL DIRECTOR/OWNER)
- **Authorized official phone:** (626) 445-2371

## Contact information

- **Practice address:** 638 W DUARTE RD, SUITE 18, ARCADIA, CA 91007-7616
- **Practice address phone:** (626) 445-2371
- **Practice address fax:** (626) 445-2618
- **Mailing address:** PO BOX 1464, ARCADIA, CA 91077-1464
- **Mailing address phone:** (626) 445-2371
- **Mailing address fax:** (626) 445-2618

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | A44356 | CA | — |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | A44356 | CA | — |
| 208VP0000X | Pain Medicine Physician | A44356 | CA | Yes |

## Other

- **Enumeration date:** 04/10/2013
- **Last updated:** 10/01/2024