# INTERVENTIONAL PAIN SPECIALISTS OF SO CA

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

## Provider details

- **NPI number:** 1801831631
- **Authorized official:** KEVIN SMITH MD (VICE PRESIDENT)
- **Authorized official phone:** (619) 299-1767

## Contact information

- **Practice address:** 7485 MISSION VALLEY RD, STE 104B, SAN DIEGO, CA 92108-4422
- **Practice address phone:** (619) 299-1767
- **Practice address fax:** (619) 299-0925
- **Mailing address:** PO BOX 969096, SAN DIEGO, CA 92196-9096
- **Mailing address phone:** (858) 495-0971
- **Mailing address fax:** (858) 495-0991

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | CA | Yes |

## Other

- **Enumeration date:** 06/17/2006
- **Last updated:** 08/22/2020