# ADVANCED PAIN MANAGEMENT OF ARIZONA PC

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

## Provider details

- **NPI number:** 1780548032
- **Authorized official:** MANRAJ KHOSLA MD (MEDICAL DIRECTOR / OWNER)
- **Authorized official phone:** (480) 415-4253

## Contact information

- **Practice address:** 2121 S MILL AVE STE 101, TEMPE, AZ 85282-2106
- **Practice address phone:** (480) 605-9700
- **Practice address fax:** (480) 605-9700
- **Mailing address:** 11522 MANCHESTER WAY, PORTER RANCH, CA 91326-2459
- **Mailing address phone:** (480) 415-4253

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084A2900X | Neurocritical Care Physician | — | NULL | Yes |
| 2084A2900X | Neurocritical Care Physician | — | — | Yes |
| 208VP0000X | Pain Medicine Physician | — | — | Yes |
| 261QP3300X | Pain Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 12/11/2025
- **Last updated:** 02/09/2026