Organization
SAN PEDRO PAIN AND DISC INSTITUTE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREG ANDERSON M.D. (PRESIDENT)
(310) 856-7999
Entity
Organization
Contact information
Practice address
757 W 9TH ST, SAN PEDRO, CA 90731-3601
(310) 856-7999
(310) 856-7771
Mailing address
757 W 9TH ST, SAN PEDRO, CA 90731-3601
(310) 856-7999
(310) 856-7771
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
DC24671
CA
208D00000X
General Practice Physician
Primary
G33010
CA
Other
Enumeration date
11/26/2012
Last updated
08/08/2013
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