# PAIN DIAGNOSIS & TREATMENT, INC. A MEDICAL CLINIC

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

## Provider details

- **NPI number:** 1891819447
- **Authorized official:** DR. BRIAN LESLIE GWARTZ M.D. (PRESIDENT)
- **Authorized official phone:** (626) 857-7400

## Contact information

- **Practice address:** 210 S GRAND AVE, 315, GLENDORA, CA 91741-4205
- **Practice address phone:** (626) 857-7400
- **Practice address fax:** (626) 857-7404
- **Mailing address:** 210 S GRAND AVE, 315, GLENDORA, CA 91741-4205
- **Mailing address phone:** (626) 857-7400
- **Mailing address fax:** (626) 857-7404

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | A20970 | CA | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | A43746 | CA | Yes |

## Other

- **Enumeration date:** 03/19/2007
- **Last updated:** 05/05/2015