Organization
PREMIER PAIN MANAGEMENT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN BROUKHIM M.D. (MEDICAL DIRECTOR)
(818) 753-1520
Entity
Organization
Contact information
Practice address
11650 RIVERSIDE DR, 2ND FLOOR, NORTH HOLLYWOOD, CA 91602-1093
(818) 753-1520
(818) 755-1870
Mailing address
11650 RIVERSIDE DR, 2ND FLOOR, NORTH HOLLYWOOD, CA 91602-1093
(818) 753-1520
(818) 755-1870
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
—
—
Other
Enumeration date
10/01/2014
Last updated
10/01/2014
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