Organization
S&A PAIN MANAGEMENT CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANUJ GUPTA M.D. (OWNER)
(760) 285-8866
Entity
Organization
Contact information
Practice address
16101 VENTURA BLVD, SUITE# 240, ENCINO, CA 91436-2500
(818) 366-0474
(818) 474-7530
Mailing address
PO BOX 8000, NORTHRIDGE, CA 91327-8000
(818) 366-0474
(818) 474-7530
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
A85939
CA
367H00000X
Anesthesiologist Assistant
—
—
Other
Enumeration date
03/20/2013
Last updated
10/03/2014
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