# ARROYO VISTA ADVANCED PAIN SPECIALISTS, INC.

> 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
- **Parent organization:** ARROYO VISTA ADVANCED PAIN SPECIALISTS, INC.
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1578993242
- **Legal business name:** ARROYO VISTA ADVANCED PAIN SPECIALISTS, INC.
- **Authorized official:** LANA LOUIE A. WANIA-GALICIA M.D. (PRESIDENT & CHIEF MEDICAL OFFICER)
- **Authorized official phone:** (805) 222-4549

## Contact information

- **Practice address:** 865 PATRIOT DR, SUITE 201A, MOORPARK, CA 93021-3407
- **Practice address phone:** (805) 222-4549
- **Mailing address:** 2980 N BEVERLY GLEN CIR, SUITE 301, LOS ANGELES, CA 90077-1726

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332900000X | Non-Pharmacy Dispensing Site | A80078 | CA | Yes |

## Other

- **Enumeration date:** 11/18/2013
- **Last updated:** 11/18/2013