Organization
EL DORADO PAIN MANAGEMENT CENTER
Active
Organization
EL DORADO PAIN MANAGEMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISA J HERRERA HR (PRACTICE MANAGER)
(530) 672-1311
Entity
Organization
Contact information
Practice address
1208 SUNCAST LN, EL DORADO HILLS, CA 95762-9631
(530) 672-1311
(530) 672-1335
Mailing address
1208 SUNCAST LN, EL DORADO HILLS, CA 95762-9631
(530) 672-1311
(530) 672-1335
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
A83780
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A837800
—
CA
Enumeration date
01/20/2008
Last updated
02/04/2011
Update your record
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