# PACIFIC SURGICAL INSTITUTE OF PAIN MANAGEMENT

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

## Provider details

- **NPI number:** 1528130879
- **Authorized official:** MR. MATTHEW D RIFAT ATTY (ADMINISTRATOR)
- **Authorized official phone:** (619) 282-0216

## Contact information

- **Practice address:** 3703 CAMINO DEL RIO SOUTH, SUITE 101, SAN DIEGO, CA 92108
- **Practice address phone:** (619) 640-1555
- **Practice address fax:** (619) 640-9581
- **Mailing address:** 3703 CAMINO DEL RIO SOUTH, SUITE 101, SAN DIEGO, CA 92108
- **Mailing address phone:** (619) 640-1555
- **Mailing address fax:** (619) 640-9581

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 090000607 | CA | Yes |

## Other

- **Enumeration date:** 11/14/2006
- **Last updated:** 01/28/2016