Organization
ENCINO PLACE PAIN MANAGEMENT AND SURGERY CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHUBHA M JAIN M.D. (MEDICAL DIRECTOR/OWNER)
(818) 366-0474
Entity
Organization
Contact information
Practice address
16101 VENTURA BLVD, SUITE # 240, ENCINO, CA 91436-2500
(818) 357-5529
(818) 462-9035
Mailing address
PO BOX 8000, NORTHRIDGE, CA 91327-8000
(818) 802-3514
(818) 462-9035
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
11/16/2009
Last updated
01/26/2012
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