Organization
ADVANCED PAIN MANAGEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROLAND D REINHART M.D. (PREDISENT)
(760) 776-7520
Entity
Organization
Contact information
Practice address
39700 BOB HOPE DR, SUITE 204, RANCHO MIRAGE, CA 92270-3267
(760) 776-7520
(760) 776-7521
Mailing address
39700 BOB HOPE DR, SUITE 204, RANCHO MIRAGE, CA 92270-3267
(760) 776-7520
(760) 776-7521
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
250000753
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051476
BC PROVIDER #
CA
01
—
490004885
MC RAIL ROAD
CA
01
—
ZZZH3320Z
BS PROVIDER #
CA
Enumeration date
08/24/2005
Last updated
11/24/2009
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