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Organization
ARROYO VISTA ADVANCED PAIN SPECIALISTS, INC
Active
Organization
ARROYO VISTA ADVANCED PAIN SPECIALISTS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LANA LOUIE ALVAREZ WANIA-GALICIA M.D. (CEO/CMO)
(805) 222-4549
Entity
Organization
Contact information
Practice address
865 PATRIOT DR, STE 201A, MOORPARK, CA 93021-3405
(805) 222-4549
(805) 529-4549
Mailing address
530 W LOS ANGELES AVE STE 115, MS-343, MOORPARK, CA 93021-1746
(805) 222-4549
(805) 529-4549
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
NULL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
06/07/2013
Last updated
08/21/2015
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