# PACIFIC SURGICAL INSTITUTE OF PAIN MANAGEMENT INC

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

## Provider details

- **NPI number:** 1730876921
- **Authorized official:** MRS. WANDA HALL (CONTRACT SPECIALIST)
- **Authorized official phone:** (619) 640-5555

## Contact information

- **Practice address:** 3703 CAMINO DEL RIO S STE 101, SAN DIEGO, CA 92108-4032
- **Practice address phone:** (619) 640-1555
- **Practice address fax:** (619) 640-9581
- **Mailing address:** 3703 CAMINO DEL RIO S STE 101, SAN DIEGO, CA 92108-4032
- **Mailing address phone:** (619) 640-1555
- **Mailing address fax:** (619) 640-9581

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/19/2023
- **Last updated:** 07/31/2023