Organization
PAIN AND REHABILITATION MEDICAL GROUP, A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FABIAN A PROANO MD (PRESIDENT)
(310) 791-4980
Entity
Organization
Contact information
Practice address
3655 LOMITA BLVD STE 206, TORRANCE, CA 90505-1930
(310) 791-4980
(310) 791-4989
Mailing address
3655 LOMITA BLVD STE 206, TORRANCE, CA 90505-1930
(310) 791-4980
(310) 791-4989
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
G55631
CA
207LP2900X
Pain Medicine (Anesthesiology) Physician
G60934
CA
2084P2900X
Pain Medicine (Psychiatry & Neurology) Physician
PSY4695
CA
Other
Enumeration date
09/13/2006
Last updated
11/21/2024
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