Organization
AXIOM PAIN MANAGEMENT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAY AVILA D.O. (PRESIDENT)
(951) 929-6260
Entity
Organization
Contact information
Practice address
1800 MEDICAL CENTER DR, SUITE 105, SAN BERNARDINO, CA 92411-1233
(909) 880-0536
Mailing address
PO BOX 788, HEMET, CA 92546-0788
(951) 929-6260
(951) 765-2855
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
20A8829
CA
Other
Enumeration date
03/03/2008
Last updated
03/03/2011
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