Organization
CPMS MEDICAL GROUP
Active
Other names
Comprehensive Pain Management Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NICCI JAYNE PARKER (OFFICE MANAGER)
(858) 453-7700
Entity
Organization
Contact information
Practice address
4510 EXECUTIVE DR STE 210, SAN DIEGO, CA 92121-3023
(858) 453-7700
(858) 798-1225
Mailing address
PO BOX 501724, SAN DIEGO, CA 92150-1724
(858) 453-7700
(858) 798-1225
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
A86646
CA
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
A103353
CA
Other
Enumeration date
03/09/2015
Last updated
03/09/2015
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