Organization
VERDOLIN PAIN SPECIALISTS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL HENRY VERDOLIN MD (PRESIDENT / OWNER)
(619) 213-6665
Entity
Organization
Contact information
Practice address
891 KUHN DR, SUITE 106, CHULA VISTA, CA 91914-3551
(619) 761-5308
(619) 752-3968
Mailing address
891 KUHN DR, SUITE 106, CHULA VISTA, CA 91914-3551
(619) 761-5308
(619) 752-3968
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
A92149
CA
207LP2900X
Pain Medicine (Anesthesiology) Physician
A92149
CA
208VP0014X
Interventional Pain Medicine Physician
Primary
A92149
CA
Other
Enumeration date
06/21/2011
Last updated
09/16/2011
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