# SORRENTO VALLEY PAIN RELIEF CENTER

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

## Provider details

- **NPI number:** 1144520586
- **Authorized official:** MR. AMEET BHATIA (OFFICE MANAGER)
- **Authorized official phone:** (858) 404-5944

## Contact information

- **Practice address:** 5955 MIRA MESA BLVD, STE D, SAN DIEGO, CA 92121-4304
- **Practice address phone:** (858) 404-5944
- **Practice address fax:** (858) 404-5934
- **Mailing address:** 5955 MIRA MESA BLVD, STE D, SAN DIEGO, CA 92121-4304
- **Mailing address phone:** (858) 404-5944
- **Mailing address fax:** (858) 404-5934

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | A112159 | CA | — |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | Yes |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/02/2010
- **Last updated:** 07/15/2013