Organization
ABACI AND MASSEY PAIN MANAGEMENT, A MEDICAL COPORATION
Active
Other names
Bay Area Pain and Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL SULLIVAN (REGIONAL OPERATIONS MANAGER)
(408) 364-6799
Entity
Organization
Contact information
Practice address
15047 LOS GATOS BLVD, #200, LOS GATOS, CA 95032-2054
(408) 364-6799
Mailing address
15047 LOS GATOS BLVD., #200, LOS GATOS, CA 95032
(408) 364-6799
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LMFT93623
CA
Other
Enumeration date
08/31/2016
Last updated
08/31/2016
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