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Organization
ADVANCE PAIN MANAGEMENT GROUP
Active
Organization
ADVANCE PAIN MANAGEMENT GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHUBHA M JAIN M.D. (CHIEF EXECUTIVE)
(818) 366-0474
Entity
Organization
Contact information
Practice address
11177 TAMPA AVE., SUITE B, NORTHRIDGE, CA 91326-2254
(818) 366-0474
(818) 474-7530
Mailing address
P.O. BOX 8000, NORTHRIDGE, CA 91327-8000
(818) 366-0474
(818) 474-7530
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
NULL
Other
Enumeration date
02/25/2011
Last updated
01/26/2012
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