# PAIN MANAGEMENT CENTER OF IRVINE, INC.

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

## Provider details

- **NPI number:** 1225404957
- **Authorized official:** DR. ADAM WEISSMAN M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (760) 641-4359

## Contact information

- **Practice address:** 4902 IRVINE CENTER DR STE 102, IRVINE, CA 92604-3334
- **Practice address phone:** (949) 857-4712
- **Practice address fax:** (949) 857-4797
- **Mailing address:** 4902 IRVINE CENTER DR STE 102, IRVINE, CA 92604-3334
- **Mailing address phone:** (949) 857-4712
- **Mailing address fax:** (949) 857-4797

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | A74030 | CA | Yes |

## Other

- **Enumeration date:** 08/17/2015
- **Last updated:** 08/17/2015