Organization
INTERVENTIONAL PAIN MEDICAL GROUP
Active
Organization
INTERVENTIONAL PAIN MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN FRANCIS PETRAGLIA M.D. (PRESIDENT)
(562) 407-2080
Entity
Organization
Contact information
Practice address
1601 DOVE ST, SUITE 170, NEWPORT BEACH, CA 92660-2433
(562) 407-2080
(562) 407-2082
Mailing address
PO BOX 4259, CERRITOS, CA 90703-4259
(562) 407-2080
(562) 407-2082
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
09/20/2006
Last updated
02/09/2026
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