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Organization
CPMS MEDICAL GROUP
Active
Organization
CPMS MEDICAL GROUP
Active
Other names
Comprehensive Pain Management Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NICCI JAYNE PARKER (OFFICE MANAGER)
(858) 453-7700
Entity
Organization
Contact information
Practice address
4510 EXECUTIVE DR STE 210, SAN DIEGO, CA 92121-3023
(858) 453-7700
(858) 798-1225
Mailing address
PO BOX 501724, SAN DIEGO, CA 92150-1724
(858) 453-7700
(858) 798-1225
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
A86646
CA
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
A103353
CA
Other
Enumeration date
03/09/2015
Last updated
03/09/2015
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