# FOAD ELAHI MD CALIFORNIA CENTER OF PAIN MEDICINE AND REHABILITATION I

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

## Provider details

- **NPI number:** 1396124293
- **Authorized official:** DR. FOAD ELAHI MD (FOUNDER)
- **Authorized official phone:** (312) 863-9377

## Contact information

- **Practice address:** 1144 NORMAN DR, 104, MANTECA, CA 95336-5925
- **Practice address phone:** (209) 824-4400
- **Practice address fax:** (209) 824-4420
- **Mailing address:** 1144 NORMAN DR, 104, MANTECA, CA 95336-5925
- **Mailing address phone:** (209) 824-4400
- **Mailing address fax:** (209) 824-4420

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | A106279 | CA | Yes |

## Other

- **Enumeration date:** 05/26/2015
- **Last updated:** 07/29/2015