# CENTERS OF REHABILITATION & PAIN MEDICINE INC

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

## Provider details

- **NPI number:** 1184933830
- **Authorized official:** SHANE SPEIRS MD (PRESIDENT/CMO)
- **Authorized official phone:** (480) 495-5485

## Contact information

- **Practice address:** 1041 E YORBA LINDA BLVD STE 210, PLACENTIA, CA 92870-3763
- **Practice address phone:** (714) 223-7000
- **Practice address fax:** (833) 471-2059
- **Mailing address:** 840 E MCKELLIPS RD STE 105, MESA, AZ 85203-9654
- **Mailing address phone:** (602) 491-0701
- **Mailing address fax:** (480) 631-0581

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | A86192 | CA | Yes |

## Other

- **Enumeration date:** 09/29/2010
- **Last updated:** 10/09/2023