# JP ANESTHESIOLOGY, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Advanced Pain Management Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821186776
- **Authorized official:** JOE PARK M.D. (PRESIDENT)
- **Authorized official phone:** (760) 843-9679

## Contact information

- **Practice address:** 15447 W SAND ST, VICTORVILLE, CA 92392-2904
- **Practice address phone:** (760) 843-9679
- **Practice address fax:** (760) 245-3618
- **Mailing address:** 15447 WEST SAND STREET, VICTORVILLE, CA 92392-4500
- **Mailing address phone:** (760) 843-9679
- **Mailing address fax:** (760) 245-3618

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | A86588 | CA | Yes |

## Other

- **Enumeration date:** 10/10/2006
- **Last updated:** 03/07/2023