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Organization
INTERVENTIONAL PAIN SPECIALISTS OF SO CA
Active
Organization
INTERVENTIONAL PAIN SPECIALISTS OF SO CA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN SMITH MD (VICE PRESIDENT)
(619) 299-1767
Entity
Organization
Contact information
Practice address
7485 MISSION VALLEY RD, STE 104B, SAN DIEGO, CA 92108-4422
(619) 299-1767
(619) 299-0925
Mailing address
PO BOX 969096, SAN DIEGO, CA 92196-9096
(858) 495-0971
(858) 495-0991
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
CA
Other
Enumeration date
06/17/2006
Last updated
08/22/2020
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