Organization
PAIN CARE PROVIDERS A PROFESSIONAL MEDICAL CORPORATION
Active
Other names
pain care providers surgery center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMIR BAHRAM RAFIZAD M.D. (PRESIDENT)
(949) 872-2400
Entity
Organization
Contact information
Practice address
113 WATERWORKS WAY, 345, IRVINE, CA 92618-3167
(949) 872-2400
(949) 872-2401
Mailing address
PO BOX 54788, IRVINE, CA 92619-4788
(949) 872-2400
(949) 872-2401
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
12/07/2011
Last updated
05/08/2012
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