Organization
PAIN MANAGEMENT & INJURY RELIEF MEDICAL CENTER, INC
Active
Organization
PAIN MANAGEMENT & INJURY RELIEF MEDICAL CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDER P HERSEL MD (OWNER)
(310) 808-4308
Entity
Organization
Contact information
Practice address
1120 NEWBURY RD STE 100, THOUSAND OAKS, CA 91320-3663
(805) 557-0096
(805) 557-7390
Mailing address
1120 NEWBURY RD STE 100, THOUSAND OAKS, CA 91320-3663
(805) 557-0096
(805) 557-7390
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
10/23/2019
Last updated
11/06/2019
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