# LA JOLLA ORTHOPEDICS & PAIN MANAGEMENT CENTER, INC.

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

## Provider details

- **NPI number:** 1477096170
- **Authorized official:** JOHN QIAN MD (PRESIDENT)
- **Authorized official phone:** (858) 571-3630

## Contact information

- **Practice address:** 3703 CAMINO DEL RIO S, SUITE 200, SAN DIEGO, CA 92108-4033
- **Practice address phone:** (858) 571-3630
- **Practice address fax:** (858) 541-4440
- **Mailing address:** 276 CHURCH AVE, SUITE B, CHULA VISTA, CA 91910-2729

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |
| 208VP0000X | Pain Medicine Physician | — | NULL | — |
| 208VP0000X | Pain Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 11/29/2016
- **Last updated:** 11/29/2016