Organization
PAIN DIAGNOSIS & TREATMENT, INC. A MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN LESLIE GWARTZ M.D. (PRESIDENT)
(626) 857-7400
Entity
Organization
Contact information
Practice address
210 S GRAND AVE, 315, GLENDORA, CA 91741-4205
(626) 857-7400
(626) 857-7404
Mailing address
210 S GRAND AVE, 315, GLENDORA, CA 91741-4205
(626) 857-7400
(626) 857-7404
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
A20970
CA
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
A43746
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A437461
—
CA
Enumeration date
03/19/2007
Last updated
05/05/2015
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