Organization
PACIFIC PAIN TREATMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROSELLEN M KRAMES RN BSN (PRACTICE ADMINISTRATOR)
(415) 567-1219
Entity
Organization
Contact information
Practice address
2000 VAN NESS AVE, SUITE #402, SAN FRANCISCO, CA 94109-3023
(415) 567-1219
(415) 567-2534
Mailing address
2000 VAN NESS AVE, SUITE #402, SAN FRANCISCO, CA 94109-3023
(415) 567-1219
(415) 567-2534
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
G23073
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G23073
BLUE CROSS
CA
05
—
GR0069910
—
CA
01
—
ZZZ43183Z
BLUE SHEILD
CA
Enumeration date
08/10/2005
Last updated
08/22/2020
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