Chronic Pain Management Clinic A Medical Corporation
LBN: Chronic Pain Management Clinic A Medical Corporation
Chronic Pain Management Clinic A Medical Corporation is an health care organization with primary practice located at 210 S Grand Ave Ste 315 , Glendora CA 91741-4284. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as the primary health care specialty.
Chronic Pain Management Clinic A Medical Corporation can be contacted via phone (626) 610-3776, or through Gwartz, Brian L via phone (626) 610-3776.
Contact Information
Primary practice address
210 S Grand Ave Ste 315
Glendora CA 91741-4284
Phone: (626) 610-3776
Fax: (626) 771-3191
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | A43746 | California |
Profile Details
| NPI number | 1871813899 |
|---|---|
| LBN Legal business name | Chronic Pain Management Clinic A Medical Corporation |
| DBA Doing business as | |
| Authorized official | Gwartz, Brian L Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 2nd, 2010 |
| Last updated | Jan 12th, 2011 - about 13 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871813899 | NPPES |
| California | Other | EE716A | PTAN |
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