# PAIN DOCTORS MD MEDICAL CORPORATION

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

## Provider details

- **NPI number:** 1932652633
- **Authorized official:** JOHN R GURSKIS MD (PRESIDENT)
- **Authorized official phone:** (714) 926-8444

## Contact information

- **Practice address:** 2865 ATLANTIC AVE, 226, LONG BEACH, CA 90806-1740
- **Practice address phone:** (714) 926-8444
- **Practice address fax:** (562) 490-8599
- **Mailing address:** 9949 SAGE CIR, FOUNTAIN VALLEY, CA 92708-2327
- **Mailing address phone:** (714) 926-8444
- **Mailing address fax:** (562) 490-8599

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208VP0000X | Pain Medicine Physician | G50055 | CA | Yes |

## Other

- **Enumeration date:** 07/28/2016
- **Last updated:** 09/29/2016