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) 694-0385
Entity
Organization
Contact information
Practice address
4954 VAN NUYS BLVD STE 202, SHERMAN OAKS, CA 91403-1798
(310) 694-0385
Mailing address
11693 SAN VICENTE BLVD # 112, LOS ANGELES, CA 90049-5105
(310) 694-0385
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
A92212
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1134151236
—
CA
Enumeration date
07/07/2006
Last updated
02/15/2021
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