Organization
RANCHO MIRAGE PAIN CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEE W. ERLENDSON M.D. (PRESIDENT)
(760) 773-3075
Entity
Organization
Contact information
Practice address
39300 BOB HOPE DR, BANNAN BUILDING, SUITE 1203, RANCHO MIRAGE, CA 92270-3203
(760) 773-3075
(760) 773-3091
Mailing address
PO BOX 11918, SANTA ANA, CA 92711-1918
(714) 824-8840
(714) 824-8850
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
G50577
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G50577
STATE MEDICAL LICENSE
CA
01
—
RHC137647
DEPT HEALTH SERV X-RAY
CA
Enumeration date
11/09/2006
Last updated
03/07/2023
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