Organization
PACIFIC SURGICAL INSTITUTE OF PAIN MANAGEMENT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. WANDA HALL (CONTRACT SPECIALIST)
(619) 640-5555
Entity
Organization
Contact information
Practice address
3703 CAMINO DEL RIO S STE 101, SAN DIEGO, CA 92108-4032
(619) 640-1555
(619) 640-9581
Mailing address
3703 CAMINO DEL RIO S STE 101, SAN DIEGO, CA 92108-4032
(619) 640-1555
(619) 640-9581
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
04/19/2023
Last updated
07/31/2023
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