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Organization
JP ANESTHESIOLOGY, INC
Active
Organization
JP ANESTHESIOLOGY, INC
Active
Other names
Advanced Pain Management Center
Organization subpart
No
Provider details
NPI number
Authorized official
JOE PARK M.D. (PRESIDENT)
(760) 843-9679
Entity
Organization
Contact information
Practice address
15447 W SAND ST, VICTORVILLE, CA 92392-2904
(760) 843-9679
(760) 245-3618
Mailing address
15447 WEST SAND STREET, VICTORVILLE, CA 92392-4500
(760) 843-9679
(760) 245-3618
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
A86588
CA
Other
Enumeration date
10/10/2006
Last updated
03/07/2023
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