Organization
PAIN ALLEVIA MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY DANIEL CHONG M.D. (PRESIDENT)
(858) 453-7700
Entity
Organization
Contact information
Practice address
16466 BERNARDO CENTER DR, SUITE 150, SAN DIEGO, CA 92128-2522
(858) 453-7700
(858) 798-1225
Mailing address
PO BOX 501724, SAN DIEGO, CA 92150-1724
(858) 453-7700
(858) 798-1225
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
A103353
CA
Other
Enumeration date
04/18/2016
Last updated
04/18/2016
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