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Organization
ADVANCE PAIN MEDICAL GROUP
Active
Organization
ADVANCE PAIN MEDICAL GROUP
Active
Parent organization
ADVAMCED PAIN MEDICAL GROUP
Organization subpart
Yes
Provider details
NPI number
Legal business name
ADVAMCED PAIN MEDICAL GROUP
Authorized official
JACQUELINE SARIAN (C.O.O.)
(818) 348-7246
Entity
Organization
Contact information
Practice address
50 N LA CIENEGA BLVD STE 201, BEVERLY HILLS, CA 90211-2246
(818) 348-7246
(818) 348-7248
Mailing address
7230 MEDICAL CENTER DR STE 500, WEST HILLS, CA 91307-4024
(818) 348-7253
(818) 348-7012
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
NULL
208VP0000X
Pain Medicine Physician
Primary
—
—
261QP3300X
Pain Clinic/Center
—
NULL
Other
Enumeration date
08/16/2017
Last updated
01/08/2024
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