Organization
GUARDIAN HEADACHE & PAIN MANAGEMENT INSTITUTE
Active
Organization
GUARDIAN HEADACHE & PAIN MANAGEMENT INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN TAIMOORAZY MD (PRESIDENT)
(800) 444-6110
Entity
Organization
Contact information
Practice address
361 HOSPITAL RD, SUITE 324, NEWPORT BEACH, CA 92663-3522
(800) 444-6110
Mailing address
PO BOX 570, LAKE FOREST, IL 60045-0570
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
—
—
Other
Enumeration date
11/11/2015
Last updated
11/11/2015
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