Organization
PAIN MEDICINE SPECIALTY GROUP INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHIWAI E CHAN D.O. (PRESIDENT)
(714) 424-9300
Entity
Organization
Contact information
Practice address
11160 WARNER AVE, 417, FOUNTAIN VALLEY, CA 92708-4008
(714) 424-9300
(714) 424-9324
Mailing address
11160 WARNER AVE, 417, FOUNTAIN VALLEY, CA 92708-4008
(714) 424-9300
(714) 424-9324
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Enumeration date
02/11/2007
Last updated
06/17/2016
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