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Organization
WESTERN PAIN AND HEADACHE CENTER, INC.
Active
Organization
WESTERN PAIN AND HEADACHE CENTER, INC.
Active
Other names
Advanced Pain Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHONG-HAO ZHAO MD, PHD, DABMA (PRESIDENT/ MEDICAL DIRECTOR)
(818) 842-1688
Entity
Organization
Contact information
Practice address
1234 SOUTH GARFIELD AVE., SUITE 205, ALHAMABRA, CA 91801
(626) 457-6700
(626) 457-6750
Mailing address
1234 SOUTH GARFIELD AVE., SUITE 205, ALHAMABRA, CA 91801
(626) 457-6700
(626) 457-6750
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
NULL
103TC0700X
Clinical Psychologist
—
—
122300000X
Dentist
—
NULL
122300000X
Dentist
—
—
174400000X
Specialist
Primary
A66257
CA
207LP2900X
Pain Medicine (Anesthesiology) Physician
A90819
CA
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
NULL
2085R0202X
Diagnostic Radiology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A71882
PIN
CA
Enumeration date
12/21/2006
Last updated
03/03/2011
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