# DIABLO PAIN MANAGEMENT, PROF CORP

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1861406563
- **Authorized official:** DR. MIR E ALI M.D. (SOLE OWNER)
- **Authorized official phone:** (800) 883-7243

## Contact information

- **Practice address:** 200 PORTER DR STE 100, SAN RAMON, CA 94583-1524
- **Practice address phone:** (800) 883-7243
- **Mailing address:** 210 N TUSTIN AVE, SANTA ANA, CA 92705-3807
- **Mailing address phone:** (800) 883-7243

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | A73147 | CA | Yes |

## Other

- **Enumeration date:** 07/28/2006
- **Last updated:** 08/22/2020