Organization
CENTER FOR PAIN CONTROL IN CALIFORNIA-MEDICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHUBHA M JAIN M.D. (OFFICE MANAGER)
(818) 366-0474
Entity
Organization
Contact information
Practice address
11145 TAMPA AVE, 21B, NORTHRIDGE, CA 91326-2255
(818) 366-0474
(818) 474-7530
Mailing address
PO BOX 8000, NORTHRIDGE, CA 91327-8000
(818) 366-0474
(818) 474-7530
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
A47841
CA
261QP3300X
Pain Clinic/Center
Primary
A54399
CA
Other
Enumeration date
03/02/2009
Last updated
03/02/2009
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