# IHA PAIN MANAGMENT PC

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

## Provider details

- **NPI number:** 1376047019
- **Authorized official:** POUYA AFSHAR MD (CMO)
- **Authorized official phone:** (619) 738-5566

## Contact information

- **Practice address:** 7801 MISSION CENTER CT STE 250, SAN DIEGO, CA 92108-1314
- **Practice address phone:** (619) 738-5566
- **Mailing address:** 7801 MISSION CENTER CT STE 250, SAN DIEGO, CA 92108-1314
- **Mailing address phone:** (619) 738-5566

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208VP0000X | Pain Medicine Physician | — | NULL | Yes |
| 208VP0000X | Pain Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/19/2018
- **Last updated:** 03/19/2018
