Organization
LIBRA PAIN CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAM AHDAB M.D. (PRESIDENT)
(323) 217-2856
Entity
Organization
Contact information
Practice address
1433 W MERCED AVE STE 103, WEST COVINA, CA 91790-3402
(626) 506-2648
(626) 898-9250
Mailing address
1433 W MERCED AVE STE 103, WEST COVINA, CA 91790-3402
(626) 506-2648
(626) 898-9250
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A126658
CA
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
A126658
CA
208VP0000X
Pain Medicine Physician
A126658
CA
208VP0014X
Interventional Pain Medicine Physician
Primary
A126658
CA
Other
Enumeration date
08/19/2014
Last updated
02/04/2026
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