Organization
GPW INTERVENTIONAL PAIN MANAGEMENT, A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRANT P WILLIAMS MD (PRESIDENT)
(877) 331-3878
Entity
Organization
Contact information
Practice address
1250 S SUNSET AVE STE 206, WEST COVINA, CA 91790-3962
(877) 331-3878
(888) 578-6188
Mailing address
2275 HUNTINGTON DR, SUITE 371, SAN MARINO, CA 91108-2640
(877) 331-3878
(888) 578-6188
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
208VP0000X
Pain Medicine Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
10/01/2015
Last updated
06/20/2025
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