Organization
PAIN CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY E LYNCH MD (OWNER)
(714) 991-7346
Entity
Organization
Contact information
Practice address
817 W 17TH ST, SANTA ANA, CA 92706-3624
(714) 969-8287
(714) 908-7793
Mailing address
6548 ASHBURY CIR, HUNTINGTON BEACH, CA 92648-6635
(714) 991-7246
(714) 908-7793
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
G74208
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G742084
—
CA
Enumeration date
06/21/2012
Last updated
06/21/2012
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