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Organization

ADVANCED PAIN DIAGNOSTIC & SOLUTIONS, INC.

Active
Other names
Kayvan D. Haddadan, Inc.
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KAYVAN DON HADDADAN M.D. (PRESIDENT)
(415) 786-6192
Entity
Organization

Contact information

Practice address
729 SUNRISE AVE STE 602, ROSEVILLE, CA 95661-4542
(916) 953-7571
(916) 771-8515
Mailing address
729 SUNRISE AVE STE 602, ROSEVILLE, CA 95661-4542
(916) 953-7571
(916) 771-8515

Taxonomy

Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00A879570
MEDICARE ID TYPE UNSPECIFIED
CA
01
POO745259
MEDICARE RAILROAD
Enumeration date
03/06/2012
Last updated
06/22/2020
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