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Organization
PACIFIC PAIN CONTROL CLINIC
Active
Organization
PACIFIC PAIN CONTROL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MUSYA BRANOVAN (OWNER)
(714) 522-2001
Entity
Organization
Contact information
Practice address
9201 W SUNSET BLVS, # 612, LOS ANGELES, CA 90069
(714) 522-2001
(714) 522-7503
Mailing address
7439 LA PALMA AVE, # 120, BUENA PARK, CA 90620-2698
(714) 522-2001
(714) 522-7503
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
FNP21284
CA
Other
Enumeration date
02/03/2009
Last updated
02/03/2009
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