Organization
PAIN MEDICINE CONSULTANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD SHINAMAN (PARTNER)
(925) 287-1505
Entity
Organization
Contact information
Practice address
5924 STONERIDGE DR # 102, PLEASANTON, CA 94588-2887
(925) 400-4040
Mailing address
100 N WIGET LN STE 160, WALNUT CREEK, CA 94598-5917
(925) 287-1505
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1831327055
NPI
—
Enumeration date
05/25/2010
Last updated
05/25/2010
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