Organization
ENCINO PLACE PAIN MANAGEMENT AND SURGERY CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHUBHA JAIN MD (OWNER/PRESIDENT)
(818) 802-3514
Entity
Organization
Contact information
Practice address
16101 VENTURA BLVD, SUITE 240, ENCINO, CA 91436-2500
(818) 802-3514
Mailing address
16101 VENTURA BLVD, SUITE 240, ENCINO, CA 91436-2500
(818) 802-3514
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
12/31/2009
Last updated
12/31/2009
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