# ALESIA PAIN TREATMENT CENTER, A MEDICAL GROUP, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Peninsula Pain Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558541870
- **Authorized official:** DR. BRANDON TRUONG WYNN D.O. (MEDICAL DIRECTOR)
- **Authorized official phone:** (408) 368-1889

## Contact information

- **Practice address:** 2450 EL CAMINO REAL, SUITE 100 B, PALO ALTO, CA 94306-1706
- **Practice address phone:** (650) 493-7246
- **Practice address fax:** (650) 493-7248
- **Mailing address:** 2450 EL CAMINO REAL, SUITE 100 B, PALO ALTO, CA 94306-1706
- **Mailing address phone:** (650) 493-7246
- **Mailing address fax:** (650) 493-7248

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | 20A9059 | CA | Yes |

## Other

- **Enumeration date:** 11/05/2007
- **Last updated:** 11/05/2007