Organization
ADVANCED PAIN MEDICAL GROUP
Active
Organization
ADVANCED PAIN MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIMAL SATYJIT LALA D.O., M.P.H. (PRESIDENT / OWNER)
(818) 348-7246
Entity
Organization
Contact information
Practice address
110 JENSEN CT STE 1C, THOUSAND OAKS, CA 91360-7484
(818) 348-7246
(818) 348-7248
Mailing address
7230 MEDICAL CENTER DR, SUITE 500, WEST HILLS, CA 91307-1907
(818) 348-7246
(818) 348-7248
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
208VP0000X
Pain Medicine Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
03/13/2017
Last updated
10/23/2018
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