# AG PAIN MANAGEMENT INC

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

## Provider details

- **NPI number:** 1902177470
- **Authorized official:** DR. AMIT GUPTA DO (PHYSICIAN/OWNER)
- **Authorized official phone:** (619) 227-2353

## Contact information

- **Practice address:** 1687 ERRINGER ROAD, \# 217, SIMI VALLEY, CA 93065
- **Practice address phone:** (805) 526-1700
- **Practice address fax:** (805) 512-7880
- **Mailing address:** 1687 ERRINGER ROAD, \# 217, SIMI VALLEY, CA 93065
- **Mailing address phone:** (805) 526-1700
- **Mailing address fax:** (805) 512-7880

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | 20A11210 | CA | Yes |

## Other

- **Enumeration date:** 01/16/2012
- **Last updated:** 05/19/2021
