Organization
PAIN CARE ASSOCIATES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHANTE S BUNTIN M.D. (CEO)
(831) 251-4782
Entity
Organization
Contact information
Practice address
235 TREASURE ISLAND AVE, APTOS, CA 95003-4526
(831) 251-4782
Mailing address
PO BOX 1338, APTOS, CA 95001-1338
(831) 251-4782
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
A76678
CA
207LH0002X
Hospice and Palliative Medicine (Anesthesiology) Physician
A76678
CA
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
A76678
CA
Other
Enumeration date
06/23/2009
Last updated
06/23/2009
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