# ADVANCE PAIN MEDICAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ADVANCE PAIN MEDICAL GROUP
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1558869354
- **Legal business name:** ADVANCE PAIN MEDICAL GROUP
- **Authorized official:** GINGER JOHNSON (DIRECTOR)
- **Authorized official phone:** (818) 348-7253

## Contact information

- **Practice address:** 7230 MEDICAL CENTER DR STE 500, WEST HILLS, CA 91307-4024
- **Practice address phone:** (818) 348-7246
- **Mailing address:** 7230 MEDICAL CENTER DR STE 500, WEST HILLS, CA 91307-4024

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 741488 | CA | Yes |

## Other

- **Enumeration date:** 01/26/2018
- **Last updated:** 01/26/2018