Organization
ADVANCED PAIN CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PEJMAN ELI SHIRAZY MD (PRESIDENT, OWNER)
(818) 290-5949
Entity
Organization
Contact information
Practice address
16952 VENTURA BLVD, ENCINO, CA 91316-4197
(818) 290-5949
(888) 885-5414
Mailing address
16952 VENTURA BLVD, ENCINO, CA 91316-4197
(818) 290-5949
(888) 885-5414
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1669470068
—
CA
Enumeration date
09/20/2019
Last updated
04/27/2021
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