Organization
RANCHO MIRAGE PAIN MANAGEMENT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY NELSON M.D M.D. (PRESIDENT)
(760) 202-1919
Entity
Organization
Contact information
Practice address
71780 SAN JACINTO DRIVE, SUITE 83, RANCHO MIRAGE, CA 92270-1092
(760) 202-1919
(760) 202-1982
Mailing address
P.O. BOX 3023, RANCHO MIRAGE, CA 92270-1092
(760) 202-1919
(760) 202-1982
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
G061216
CA
Other
Enumeration date
10/14/2010
Last updated
07/31/2012
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