Organization
INTERVENTIONAL PAIN SPECIALISTS OF SO CA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN SMITH MD (VICE PRESIDENT)
(619) 299-1767
Entity
Organization
Contact information
Practice address
7485 MISSION VALLEY RD, STE 104B, SAN DIEGO, CA 92108-4422
(619) 299-1767
(619) 299-0925
Mailing address
PO BOX 969096, SAN DIEGO, CA 92196-9096
(858) 495-0971
(858) 495-0991
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
CA
Other
Enumeration date
06/17/2006
Last updated
08/22/2020
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