# AXIOM PAIN MANAGEMENT INC

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

## Provider details

- **NPI number:** 1649440991
- **Authorized official:** JAY AVILA D.O. (PRESIDENT)
- **Authorized official phone:** (951) 929-6260

## Contact information

- **Practice address:** 1800 MEDICAL CENTER DR, SUITE 105, SAN BERNARDINO, CA 92411-1233
- **Practice address phone:** (909) 880-0536
- **Mailing address:** PO BOX 788, HEMET, CA 92546-0788
- **Mailing address phone:** (951) 929-6260
- **Mailing address fax:** (951) 765-2855

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | 20A8829 | CA | Yes |

## Other

- **Enumeration date:** 03/03/2008
- **Last updated:** 03/03/2011