Organization
ADVANCED PAIN MEDICAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIMAL S. LALA (OWNER/ PRESIDENT)
(818) 348-7246
Entity
Organization
Contact information
Practice address
27600 BOUQUET CANYON RD STE 106, SANTA CLARITA, CA 91350-3715
(661) 414-5335
(661) 414-8057
Mailing address
7230 MEDICAL CENTER DR STE 500, WEST HILLS, CA 91307-4024
(818) 348-7246
(818) 348-7248
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
208VP0000X
Pain Medicine Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
10/24/2018
Last updated
12/23/2020
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