Organization
PAIN ALLEVIA MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY DANIEL CHONG M.D. (OWNER/ PRESIDENT)
(808) 392-0512
Entity
Organization
Contact information
Practice address
15611 POMERADO RD, SUITE 525, POWAY, CA 92064-2437
(858) 613-6252
(858) 798-1225
Mailing address
PO BOX 5333, TORRANCE, CA 90510-5333
(714) 777-2469
(714) 777-2427
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
A103353
CA
Other
Enumeration date
01/28/2013
Last updated
01/28/2013
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