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Organization

PAIN AND ADDICTION MEDICINE, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AIDAN MATHEW CLARKE MD (CEO)
(619) 210-9291
Entity
Organization

Contact information

Practice address
286 EUCLID AVE STE 207, SAN DIEGO, CA 92114-3612
(619) 210-9291
Mailing address
4570 ONONDAGA AVE, SAN DIEGO, CA 92117-3824
(619) 210-9291

Taxonomy

Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
Primary
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician

Other

Enumeration date
07/19/2021
Last updated
07/07/2023
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