Organization
ADVANCED PAIN MEDICAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIMAL SATYJIT LALA D.O. (PHYSICIAN / OWNER)
(818) 348-7246
Entity
Organization
Contact information
Practice address
55 ROLLING OAKS DR, SUITE 100, THOUSAND OAKS, CA 91361-1010
(818) 348-7246
(818) 348-7248
Mailing address
7230 MEDICAL CENTER DR, SUITE 500, WEST HILLS, CA 91307-1907
(818) 348-7246
(818) 348-7248
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
12/08/2016
Last updated
03/06/2017
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