# INTEGRATED PAIN SOLUTIONS

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

## Provider details

- **NPI number:** 1346591575
- **Authorized official:** LANCE MOORE (OWNER)
- **Authorized official phone:** (619) 321-0093

## Contact information

- **Practice address:** 500 3RD AVE, SAN DIEGO, CA 92101-6805
- **Practice address phone:** (619) 321-0093
- **Practice address fax:** (619) 321-0094
- **Mailing address:** 500 3RD AVE, SAN DIEGO, CA 92101-6805
- **Mailing address phone:** (619) 321-0093
- **Mailing address fax:** (619) 321-0094

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | NULL | — |
| 111N00000X | Chiropractor | — | — | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |
| 2081P0004X | Spinal Cord Injury Medicine Physician | — | NULL | — |
| 2081P0004X | Spinal Cord Injury Medicine Physician | — | — | — |
| 208VP0000X | Pain Medicine Physician | — | NULL | — |
| 208VP0000X | Pain Medicine Physician | — | — | — |
| 208VP0014X | Interventional Pain Medicine Physician | — | NULL | — |
| 208VP0014X | Interventional Pain Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 09/27/2012
- **Last updated:** 09/27/2012