Organization
RELIEVE PAIN CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN DIANE HARRIS (CREDENTIALING COORDINATOR)
(540) 960-1454
Entity
Organization
Contact information
Practice address
3405 KENYON ST STE 305, SAN DIEGO, CA 92110-5007
(619) 849-5777
(619) 849-5776
Mailing address
3405 KENYON ST STE 305, SAN DIEGO, CA 92110-5007
(619) 849-5777
(619) 849-5776
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
10/23/2018
Last updated
02/14/2025
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