# ADVANCED PAIN MEDICAL GROUP, INC

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

## Provider details

- **NPI number:** 1275009656
- **Authorized official:** JACKIE SARIAN (PRACTICE ADMINISTRATOR)
- **Authorized official phone:** (818) 348-7246

## Contact information

- **Practice address:** 16055 VENTURA BLVD STE 444, ENCINO, CA 91436-2601
- **Practice address phone:** (818) 348-7246
- **Practice address fax:** (818) 348-7248
- **Mailing address:** 7230 MEDICAL CENTER DR STE 500, WEST HILLS, CA 91307-4024
- **Mailing address phone:** (818) 348-7246
- **Mailing address fax:** (818) 348-7248

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/23/2018
- **Last updated:** 03/29/2019