# PAIN MANAGEMENT & REHABILITATION MEDICINE CENTER PC

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

## Provider details

- **NPI number:** 1295760916
- **Authorized official:** YURY GAMPEL DC (OWNER)
- **Authorized official phone:** (818) 880-8605

## Contact information

- **Practice address:** 535 E MCKELLIPS RD STE 111, MESA, AZ 85203-2525
- **Practice address phone:** (480) 223-1333
- **Practice address fax:** (480) 223-1907
- **Mailing address:** 26500 AGOURA RD STE 102-587, CALABASAS, CA 91302-1952
- **Mailing address phone:** (818) 880-8605
- **Mailing address fax:** (818) 579-7916

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | NULL | — |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | — | — |
| 208VP0000X | Pain Medicine Physician | — | NULL | Yes |
| 208VP0000X | Pain Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/11/2006
- **Last updated:** 06/11/2019