Organization
AHURA HEALTHCARE CORPORATION
Active
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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