# INTERVENTIONAL PAIN MANAGEMENT

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- **Entity:** Organization
- **Status:** Active
- **Other names:** INTERVENTIONAL PAIN MANAGEMENT MEDICAL GROUP INC.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972640548
- **Authorized official:** PAUL RODRICKS MD (PRESIDENT)
- **Authorized official phone:** (818) 981-4482

## Contact information

- **Practice address:** 16311 VENTURA BLVD, \#1280, ENCINO, CA 91436-2124
- **Practice address phone:** (760) 772-8357
- **Practice address fax:** (760) 772-8406
- **Mailing address:** PO BOX 3129, TORRANCE, CA 90510-3129
- **Mailing address phone:** (310) 792-3914
- **Mailing address fax:** (855) 898-4055

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | G84064 | CA | Yes |

## Other

- **Enumeration date:** 01/31/2007
- **Last updated:** 06/29/2015