Organization
PAIN MANAGEMENT A PROFESSIONAL CORPORATION
Active
Other names
Integrated Health
Organization subpart
No
Provider details
NPI number
Authorized official
RAAFAT W GIRGIS MD (MEDICAL DIRECTOR)
(877) 669-8511
Entity
Organization
Contact information
Practice address
1601 DOVE ST STE 100, NEWPORT BEACH, CA 92660-2410
(877) 669-8511
Mailing address
PO BOX 3129, TORRANCE, CA 90510-3129
(310) 792-3914
(855) 898-4055
Taxonomy
Speciality
Code
Description
License number
State
2084P0015X
Psychosomatic Medicine Physician
A52207
CA
2084P0800X
Psychiatry Physician
A52207
CA
2084P0802X
Addiction Psychiatry Physician
Primary
A52207
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
CA
Other
Enumeration date
09/22/2015
Last updated
04/06/2018
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