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Organization
SUMMIT PAIN ALLIANCE INC
Active
Organization
SUMMIT PAIN ALLIANCE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL ISHU YANG MD (PRESIDENT)
(707) 658-2709
Entity
Organization
Contact information
Practice address
157 LYNCH CREEK WAY, PETALUMA, CA 94954-2342
(707) 658-2709
(707) 981-8950
Mailing address
392 TESCONI CT, SANTA ROSA, CA 95401-4653
(707) 623-9803
(707) 843-3257
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A112702
CA
174400000X
Specialist
A114663
CA
Other
Enumeration date
02/04/2015
Last updated
04/17/2018
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