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Organization
LA PHYSIATRISTS PROFESSIONAL CORPORATION
Active
Organization
LA PHYSIATRISTS PROFESSIONAL CORPORATION
Active
Other names
LOS ANGELES PAIN & WELLNESS INSTITUTE
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JORGE DAMIAN MINOR M.D. (PRESIDENT)
(213) 482-1046
Entity
Organization
Contact information
Practice address
1245 WILSHIRE BLVD, SUITE 403, LOS ANGELES, CA 90017-4810
(213) 482-1046
(213) 482-4811
Mailing address
1245 WILSHIRE BLVD, SUITE 403, LOS ANGELES, CA 90017-4810
(213) 482-1046
(213) 482-4811
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
—
NULL
103TC0700X
Clinical Psychologist
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
NULL
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
363AM0700X
Medical Physician Assistant
—
NULL
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
05/24/2006
Last updated
10/25/2007
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