Organization
ADVANCE SPINE CARE AND PAIN MANAGEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN K LI MD (PRESIDENT)
(626) 538-8950
Entity
Organization
Contact information
Practice address
2555 E COLORADO BLVD STE 306, PASADENA, CA 91107-6648
(626) 538-8950
(626) 566-7620
Mailing address
2555 E COLORADO BLVD STE 306, PASADENA, CA 91107-6648
(626) 538-8950
(626) 566-7620
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1083863690
—
CA
Enumeration date
02/19/2010
Last updated
10/03/2021
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