# SAN DIEGO COMPREHENSIVE PAIN MANAGEMENT CENTER, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** El Centro Comprehensive Pain Management Center,Inc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770292807
- **Authorized official:** DR. DAVID J SMITH MD (OWNER)
- **Authorized official phone:** (619) 640-5555

## Contact information

- **Practice address:** 626 W MAIN ST, EL CENTRO, CA 92243-2920
- **Practice address phone:** (760) 482-5931
- **Practice address fax:** (760) 482-5936
- **Mailing address:** 3703 CAMINO DEL RIO S STE 210, SAN DIEGO, CA 92108-4033
- **Mailing address phone:** (619) 640-5555
- **Mailing address fax:** (619) 640-5550

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | Yes |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | — | Yes |
| 261QP3300X | Pain Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 11/17/2022
- **Last updated:** 11/17/2022