Organization
AHURA HEALTHCARE CORPORATION
Active
Other names
Inland Pain Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NIKAN KHATIBI (MEDICAL DIRECTOR)
(888) 873-6220
Entity
Organization
Contact information
Practice address
14390 CIVIC DR, VICTORVILLE, CA 92392-9709
(888) 873-6220
Mailing address
29911 NIGUEL RD UNIT 6429, LAGUNA NIGUEL, CA 92607-2417
(949) 842-9628
(888) 873-6220
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
261QP3300X
Pain Clinic/Center
C3879752
CA
Other
Enumeration date
09/17/2012
Last updated
12/29/2020
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