# PAIN CARE PROVIDERS A PROFESSIONAL MEDICAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** pain care providers surgery center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861760670
- **Authorized official:** DR. AMIR BAHRAM RAFIZAD M.D. (PRESIDENT)
- **Authorized official phone:** (949) 872-2400

## Contact information

- **Practice address:** 113 WATERWORKS WAY, 345, IRVINE, CA 92618-3167
- **Practice address phone:** (949) 872-2400
- **Practice address fax:** (949) 872-2401
- **Mailing address:** PO BOX 54788, IRVINE, CA 92619-4788
- **Mailing address phone:** (949) 872-2400
- **Mailing address fax:** (949) 872-2401

## Taxonomy

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

## Other

- **Enumeration date:** 12/07/2011
- **Last updated:** 05/08/2012