# CPMS MEDICAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Comprehensive Pain Management Specialists
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780077230
- **Authorized official:** MS. NICCI JAYNE PARKER (OFFICE MANAGER)
- **Authorized official phone:** (858) 453-7700

## Contact information

- **Practice address:** 4510 EXECUTIVE DR STE 210, SAN DIEGO, CA 92121-3023
- **Practice address phone:** (858) 453-7700
- **Practice address fax:** (858) 798-1225
- **Mailing address:** PO BOX 501724, SAN DIEGO, CA 92150-1724
- **Mailing address phone:** (858) 453-7700
- **Mailing address fax:** (858) 798-1225

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | A86646 | CA | Yes |
| 2081S0010X | Sports Medicine (Physical Medicine & Rehabilitation) Physician | A103353 | CA | — |

## Other

- **Enumeration date:** 03/09/2015
- **Last updated:** 03/09/2015