# ENCINO PLACE PAIN MANAGEMENT AND SURGERY CENTER, INC.

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

## Provider details

- **NPI number:** 1861722522
- **Authorized official:** DR. SHUBHA JAIN MD (OWNER/PRESIDENT)
- **Authorized official phone:** (818) 802-3514

## Contact information

- **Practice address:** 16101 VENTURA BLVD, SUITE 240, ENCINO, CA 91436-2500
- **Practice address phone:** (818) 802-3514
- **Mailing address:** 16101 VENTURA BLVD, SUITE 240, ENCINO, CA 91436-2500
- **Mailing address phone:** (818) 802-3514

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/31/2009
- **Last updated:** 12/31/2009