Organization
PACIFIC PAIN CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHUBHA M. JAIN MD (DIRECTOR)
(818) 366-0474
Entity
Organization
Contact information
Practice address
11177 TAMPA AVE, SUITE #B, NORTHRIDGE, CA 91326-2254
(818) 366-0474
(818) 360-6319
Mailing address
11177 TAMPA AVE, SUITE #B, NORTHRIDGE, CA 91326-2254
(818) 366-0474
(818) 360-6319
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
01/02/2013
Last updated
09/30/2014
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