Organization
ADVANCED PAIN MEDICAL GROUP
Active
Parent organization
ADVANCE PAIN MEDICAL GROUP
Organization subpart
Yes
Provider details
NPI number
Legal business name
ADVANCE PAIN MEDICAL GROUP
Authorized official
GINGER JOHNSON (DIRECTOR)
(818) 348-7253
Entity
Organization
Contact information
Practice address
23043 LYONS AVE, SANTA CLARITA, CA 91321-2719
(818) 348-7046
Mailing address
7230 MEDICAL CENTER DR STE 500, WEST HILLS, CA 91307-4024
(818) 348-7253
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
11/22/2017
Last updated
11/22/2017
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