Organization
PAIN MANAGEMENT EQUIPMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES GRANT MCKINNEY (OWNER)
(888) 600-9988
Entity
Organization
Contact information
Practice address
23951 STILLWATER LN, LAGUNA NIGUEL, CA 92677-1707
(888) 600-9988
(949) 249-1637
Mailing address
23951 STILLWATER LN, LAGUNA NIGUEL, CA 92677-1707
(888) 600-9988
(949) 249-1637
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
07/08/2006
Last updated
08/22/2020
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