Community Pain Management Medical Clinic Inc
LBN: Community Pain Management Medical Clinic Inc
Community Pain Management Medical Clinic Inc is an health care organization with primary practice located at 4500 Brockton Ave Ste 305, Riverside CA 92501-4028. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Pain Medicine, which is considered as the primary health care specialty.
Community Pain Management Medical Clinic Inc can be contacted via phone (951) 715-3963, or through Maddox, Jan Paul via phone (951) 715-3963.
Contact Information
Primary practice address
4500 Brockton Ave Ste 305
Riverside CA 92501-4028
Phone: (951) 715-3963
Fax: (951) 715-3960
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | A32046 | California |
Profile Details
| NPI number | 1811992068 |
|---|---|
| LBN Legal business name | Community Pain Management Medical Clinic Inc |
| DBA Doing business as | |
| Authorized official | Maddox, Jan Paul M.D.,FIPP,ABA,ABPM |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 15th, 2005 |
| Last updated | Apr 20th, 2008 - about 16 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 | 1811992068 | NPPES |
| California | Other | 00A320460 | MEDI-CAL ID NUMBER |
| California | Other | ZZZ05981Z | MEDI-CAL ID NUMBER |
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