Organization
PARK WEST PAIN CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIRVANA KUNDU MD (PRESIDENT)
(530) 665-3212
Entity
Organization
Contact information
Practice address
171 BUTCHER RD, #A, VACAVILLE, CA 95687-5656
(707) 474-4433
Mailing address
171 BUTCHER RD, #A, VACAVILLE, CA 95687-5656
(707) 474-4433
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
03/05/2015
Last updated
03/05/2015
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