Organization
ADVANCE PAIN MEDICAL GROUP
Active
Parent organization
ADVANCE PAIN MEDICAL GROUP
Organization subpart
Yes
Provider details
NPI number
Legal business name
ADVANCE PAIN MEDICAL GROUP
Authorized official
GINGER JOHNSON (DIRECTOR)
(818) 348-7253
Entity
Organization
Contact information
Practice address
7230 MEDICAL CENTER DR STE 500, WEST HILLS, CA 91307-4024
(818) 348-7246
Mailing address
7230 MEDICAL CENTER DR STE 500, WEST HILLS, CA 91307-4024
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
741488
CA
Other
Enumeration date
01/26/2018
Last updated
01/26/2018
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