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Organization

FMR INTERVENTIONAL QUALITY PAIN MANAGEMENT, A PROFESSIONAL CORP

Active
Other names
FMR Interventional Quality Pain Management, FMR Interventional QPM
Organization subpart
No

Provider details

NPI number
Authorized official
F. MARINA RUSSMAN MD (MEDICAL DIRECTOR/OWNER)
(310) 294-9027
Entity
Organization

Contact information

Practice address
20620 LEAPWOOD AVE, SUITE H, CARSON, CA 90746
(310) 294-9027
(562) 453-3059
Mailing address
12415 NORWALK BLVD, UNIT 59600, NORWALK, CA 90652
(310) 294-9027
(562) 453-3059

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
171100000X
Acupuncturist
208VP0000X
Pain Medicine Physician
Primary

Other

Enumeration date
07/06/2018
Last updated
07/28/2023
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