Organization
ADVANCED SPINE AND PAIN CENTER
Active
Parent organization
ADVANCED SPINE AND PAIN CENTER
Other names
Eddie PMD Inc
Organization subpart
Yes
Provider details
NPI number
Legal business name
ADVANCED SPINE AND PAIN CENTER
Authorized official
EDMUND PASIMIO M.D. (MEDICAL DIRECTOR)
(702) 386-0909
Entity
Organization
Contact information
Practice address
801 S RANCHO DR, STE A-3, LAS VEGAS, NV 89106-3854
(702) 386-0909
Mailing address
2980 N BEVERLY GLEN CIR, STE 301, LOS ANGELES, CA 90077-1726
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
03/09/2010
Last updated
03/01/2011
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