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Organization
PACIFIC SURGICAL INSTITUTE OF PAIN MANAGEMENT INC
Active
Organization
PACIFIC SURGICAL INSTITUTE OF PAIN MANAGEMENT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. WANDA HALL (CONTRACT SPECIALIST)
(619) 640-5555
Entity
Organization
Contact information
Practice address
3703 CAMINO DEL RIO S STE 101, SAN DIEGO, CA 92108-4032
(619) 640-1555
(619) 640-9581
Mailing address
3703 CAMINO DEL RIO S STE 101, SAN DIEGO, CA 92108-4032
(619) 640-1555
(619) 640-9581
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
04/19/2023
Last updated
07/31/2023
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