# PAIN DIAGNOSTIC AND TREATMENT CENTER LP

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

## Provider details

- **NPI number:** 1780689802
- **Authorized official:** ERIC BOON (OFFICER, AUTHORIZED OFFICIAL)
- **Authorized official phone:** (480) 567-0269

## Contact information

- **Practice address:** 2805 J. ST, STE 200, SACRAMENTO, CA 95816-4307
- **Practice address phone:** (916) 462-9800
- **Practice address fax:** (916) 462-9801
- **Mailing address:** 2805 J. ST, STE 200, SACRAMENTO, CA 95816-4307
- **Mailing address phone:** (916) 462-9800
- **Mailing address fax:** (916) 462-9801

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 030000705 | CA | Yes |

## Other

- **Enumeration date:** 06/15/2005
- **Last updated:** 11/07/2025