Organization
ALPHA PAIN MANAGEMENT A PROFESSIONAL CORPORATION
Active
Organization
ALPHA PAIN MANAGEMENT A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EMMANUEL O EMENIKE M.D. (CEO/PHYSICIAN)
(310) 883-5343
Entity
Organization
Contact information
Practice address
9025 WILSHIRE BLVD STE 202, BEVERLY HILLS, CA 90211-1825
(949) 409-5482
Mailing address
11693 SAN VICENTE BLVD # 112, 11693 SAN VICENTE BLVD # 112, LOS ANGELES, CA 90049-5105
(949) 409-5482
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
208VP0000X
Pain Medicine Physician
Primary
A92212
CA
208VP0014X
Interventional Pain Medicine Physician
Primary
A92212
CA
208VP0014X
Interventional Pain Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1134151236
—
CA
Enumeration date
07/07/2006
Last updated
08/06/2026
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