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Organization
PAIN DIAGNOSTIC AND TREATMENT CENTER LP
Active
Organization
PAIN DIAGNOSTIC AND TREATMENT CENTER LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC BOON (OFFICER, AUTHORIZED OFFICIAL)
(480) 567-0269
Entity
Organization
Contact information
Practice address
2805 J. ST, STE 200, SACRAMENTO, CA 95816-4307
(916) 462-9800
(916) 462-9801
Mailing address
2805 J. ST, STE 200, SACRAMENTO, CA 95816-4307
(916) 462-9800
(916) 462-9801
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
030000705
CA
Other
Enumeration date
06/15/2005
Last updated
11/07/2025
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