Organization
TEMECULA PAIN MANAGEMENT CENTER, INC
Active
Organization
TEMECULA PAIN MANAGEMENT CENTER, INC
Active
Parent organization
TEMECULA PAIN MANAGEMENT CENTER
Other names
TEMECULA PAIN MANAGEMENT CENTER, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
TEMECULA PAIN MANAGEMENT CENTER
Authorized official
DR. JACK J DRUET M.D. (MEDICAL DIRECTOR-OWNER)
(951) 506-9536
Entity
Organization
Contact information
Practice address
25495 MEDICAL CENTER DR, STE 102, MURRIETA, CA 92562-4902
(951) 506-9536
(951) 693-4631
Mailing address
43500 RIDGE PARK DR, SUITE 102, TEMECULA, CA 92590-3624
(951) 699-0303
(951) 699-1145
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
019470
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
019470
BUSINESS LCENSE
CA
Enumeration date
01/15/2007
Last updated
09/09/2013
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