# SAN PEDRO PAIN AND DISC INSTITUTE INC

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

## Provider details

- **NPI number:** 1558605980
- **Authorized official:** DR. GREG ANDERSON M.D. (PRESIDENT)
- **Authorized official phone:** (310) 856-7999

## Contact information

- **Practice address:** 757 W 9TH ST, SAN PEDRO, CA 90731-3601
- **Practice address phone:** (310) 856-7999
- **Practice address fax:** (310) 856-7771
- **Mailing address:** 757 W 9TH ST, SAN PEDRO, CA 90731-3601
- **Mailing address phone:** (310) 856-7999
- **Mailing address fax:** (310) 856-7771

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | DC24671 | CA | — |
| 208D00000X | General Practice Physician | G33010 | CA | Yes |

## Other

- **Enumeration date:** 11/26/2012
- **Last updated:** 08/08/2013