Organization
THERAPEUTIC PAIN MANAGEMENT MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT HANSEN M.D. (MANG PARTNR)
5302462410410
Entity
Organization
Contact information
Practice address
1335 BUENAVENTURA BLVD, #100, REDDING, CA 96001-0160
(530) 241-0410
(530) 241-0472
Mailing address
3116 W MARCH LN, STE 200, STOCKTON, CA 95219-2369
(209) 473-6555
(209) 473-6543
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A043275
DE. DHRUVA'S MD LIC #
CA
01
—
A070414
DR IRANPUR MD LIC #
CA
01
—
G047619
DR HANSEN MD LIC #
CA
05
—
PENDING
—
CA
Enumeration date
05/16/2007
Last updated
03/03/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us