Organization
ADVANCED INTERVENTIONAL PAIN CENTER LA
Active
Organization
ADVANCED INTERVENTIONAL PAIN CENTER LA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATTANAM SRINIVASAN M.D. (CLINICAL DIRECTOR)
(424) 781-5414
Entity
Organization
Contact information
Practice address
11645 WILSHIRE BLVD, SUITE 852, LOS ANGELES, CA 90025-6808
(310) 272-9630
Mailing address
11645 WILSHIRE BLVD, SUITE 852, LOS ANGELES, CA 90025-6808
(310) 272-9630
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
C53502
CA
Other
Enumeration date
03/29/2012
Last updated
03/29/2012
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