Organization
PACIFIC PAIN MEDICAL GROUP, INC
Active
Organization
PACIFIC PAIN MEDICAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH PHUONG DU (ACCOUNT RECEIVABLE MANAGER)
(626) 656-1324
Entity
Organization
Contact information
Practice address
707 S GARFIELD AVE STE 304, ALHAMBRA, CA 91801-5861
(626) 282-1600
(626) 656-1324
Mailing address
707 S GARFIELD AVE STE 304, ALHAMBRA, CA 91801-5861
(626) 282-1600
(626) 656-1324
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
09/18/2018
Last updated
09/18/2018
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