# ADVANCE PAIN MANAGEMENT GROUP

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

## Provider details

- **NPI number:** 1538466651
- **Authorized official:** MRS. SHUBHA M JAIN M.D. (CHIEF EXECUTIVE)
- **Authorized official phone:** (818) 366-0474

## Contact information

- **Practice address:** 11177 TAMPA AVE., SUITE B, NORTHRIDGE, CA 91326-2254
- **Practice address phone:** (818) 366-0474
- **Practice address fax:** (818) 474-7530
- **Mailing address:** P.O. BOX 8000, NORTHRIDGE, CA 91327-8000
- **Mailing address phone:** (818) 366-0474
- **Mailing address fax:** (818) 474-7530

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | — | NULL | Yes |

## Other

- **Enumeration date:** 02/25/2011
- **Last updated:** 01/26/2012