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Organization
RANCHO MIRAGE PAIN ASSOCIATES, INC.
Active
Organization
RANCHO MIRAGE PAIN ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEE W. ERLENDSON M.D. (PRESIDENT)
(760) 773-3075
Entity
Organization
Contact information
Practice address
39300 BOB HOPE DR, BANNAN BUILDING, SUITE 1203, RANCHO MIRAGE, CA 92270-3203
(760) 773-3075
(760) 773-3091
Mailing address
PO BOX 11918, SANTA ANA, CA 92711-1918
(714) 824-8840
(714) 824-8850
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G50577
CA
207LP2900X
Pain Medicine (Anesthesiology) Physician
G50577
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G554160
—
CA
01
—
G50577
STATE MEDICAL LICENSE
CA
Enumeration date
09/20/2006
Last updated
03/07/2023
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