Organization
ADVANCED PAIN MANAGEMENT & WELLNESS, A MEDICAL CORPORATION
Active
Organization
ADVANCED PAIN MANAGEMENT & WELLNESS, A MEDICAL CORPORATION
Active
Other names
Jose Hernandez, PA-C
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE HERNANDEZ PA (PRESIDENT)
(213) 413-0413
Entity
Organization
Contact information
Practice address
1930 WILSHIRE BLVD, 804, LOS ANGELES, CA 90057-3605
(213) 413-0413
(213) 947-4075
Mailing address
1930 WILSHIRE BLVD, 804, LOS ANGELES, CA 90057-3605
(213) 413-0413
(213) 947-4075
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
G075155
CA
261QP3300X
Pain Clinic/Center
Primary
—
—
Other
Enumeration date
04/12/2013
Last updated
03/10/2015
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