# FMR INTERVENTIONAL QUALITY PAIN MANAGEMENT, A PROFESSIONAL CORP

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** FMR Interventional Quality Pain Management, FMR Interventional QPM
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568958171
- **Authorized official:** F. MARINA RUSSMAN MD (MEDICAL DIRECTOR/OWNER)
- **Authorized official phone:** (310) 294-9027

## Contact information

- **Practice address:** 20620 LEAPWOOD AVE, SUITE H, CARSON, CA 90746
- **Practice address phone:** (310) 294-9027
- **Practice address fax:** (562) 453-3059
- **Mailing address:** 12415 NORWALK BLVD, UNIT 59600, NORWALK, CA 90652
- **Mailing address phone:** (310) 294-9027
- **Mailing address fax:** (562) 453-3059

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | NULL | — |
| 111N00000X | Chiropractor | — | — | — |
| 171100000X | Acupuncturist | — | NULL | — |
| 171100000X | Acupuncturist | — | — | — |
| 208VP0000X | Pain Medicine Physician | — | NULL | Yes |
| 208VP0000X | Pain Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/06/2018
- **Last updated:** 07/28/2023