# SAN DIEGO COMPREHENSIVE PAIN MANAGEMENT CENTER, INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SAN DIEGO COMPREHENSIVE PAIN MANAGEMENT CENTER INC,
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1881295608
- **Legal business name:** SAN DIEGO COMPREHENSIVE PAIN MANAGEMENT CENTER INC,
- **Authorized official:** TAWNI WEBBER (BILLING MANAGER)
- **Authorized official phone:** (619) 640-5555

## Contact information

- **Practice address:** 1575 W MAIN ST, EL CENTRO, CA 92243-2211
- **Practice address phone:** (760) 482-5931
- **Practice address fax:** (760) 482-5936
- **Mailing address:** 1575 W MAIN ST, EL CENTRO, CA 92243-2211
- **Mailing address phone:** (760) 482-5931
- **Mailing address fax:** (760) 482-5936

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | Yes |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/06/2020
- **Last updated:** 11/06/2020