Organization
PAIN MANAGEMENT & REHABILITATION MEDICINE CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YURY GAMPEL DC (OWNER)
(818) 880-8605
Entity
Organization
Contact information
Practice address
535 E MCKELLIPS RD STE 111, MESA, AZ 85203-2525
(480) 223-1333
(480) 223-1907
Mailing address
26500 AGOURA RD STE 102-587, CALABASAS, CA 91302-1952
(818) 880-8605
(818) 579-7916
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
—
—
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Enumeration date
07/11/2006
Last updated
06/11/2019
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