# ADVANCED PAIN MEDICAL GROUP, INC

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

## Provider details

- **NPI number:** 1770027856
- **Authorized official:** VIMAL SATYJIT LALA D.O. (PHYSICIAN / OWNER)
- **Authorized official phone:** (818) 348-7246

## Contact information

- **Practice address:** 55 ROLLING OAKS DR, SUITE 100, THOUSAND OAKS, CA 91361-1010
- **Practice address phone:** (818) 348-7246
- **Practice address fax:** (818) 348-7248
- **Mailing address:** 7230 MEDICAL CENTER DR, SUITE 500, WEST HILLS, CA 91307-1907
- **Mailing address phone:** (818) 348-7246
- **Mailing address fax:** (818) 348-7248

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332900000X | Non-Pharmacy Dispensing Site | — | NULL | Yes |

## Other

- **Enumeration date:** 12/08/2016
- **Last updated:** 03/06/2017
