# PACIFIC PAIN CONTROL CLINIC

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

## Provider details

- **NPI number:** 1992943666
- **Authorized official:** MUSYA BRANOVAN (OWNER)
- **Authorized official phone:** (714) 522-2001

## Contact information

- **Practice address:** 9201 W SUNSET BLVS, \# 612, LOS ANGELES, CA 90069
- **Practice address phone:** (714) 522-2001
- **Practice address fax:** (714) 522-7503
- **Mailing address:** 7439 LA PALMA AVE, \# 120, BUENA PARK, CA 90620-2698
- **Mailing address phone:** (714) 522-2001
- **Mailing address fax:** (714) 522-7503

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | FNP21284 | CA | Yes |

## Other

- **Enumeration date:** 02/03/2009
- **Last updated:** 02/03/2009