# PAIN REHABILITATION & CRITICAL CARE MEDICAL GROUP, INC.

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

## Provider details

- **NPI number:** 1659569226
- **Authorized official:** MARK E COMUNALE MD (PRESIDENT)
- **Authorized official phone:** (909) 580-2440

## Contact information

- **Practice address:** 400 N PEPPER AVE, 2ND FLOOR-DEPT. OF ANESTHESIA, COLTON, CA 92324-1801
- **Practice address phone:** (909) 580-2440
- **Mailing address:** PO BOX 765, COLTON, CA 92324-0800
- **Mailing address phone:** (909) 580-2439
- **Mailing address fax:** (909) 580-2441

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LC0200X | Critical Care Medicine (Anesthesiology) Physician | FNP36389 | CA | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | FNP36389 | CA | Yes |

## Other

- **Enumeration date:** 10/09/2007
- **Last updated:** 03/03/2008
