Diablo Pain Management, Prof Corp

LBN: Diablo Pain Management, Prof Corp
Diablo Pain Management, Prof Corp is an health care organization with primary practice located at 200 Porter Dr Ste 100 , San Ramon CA 94583-1524. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as the primary health care specialty. Diablo Pain Management, Prof Corp can be contacted via phone (800) 883-7243, or through Ali, Mir E via phone (800) 883-7243.

Contact Information

Primary practice address
200 Porter Dr Ste 100 San Ramon CA 94583-1524
Phone: (800) 883-7243
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ali, Mir E Doctor of Medicine (MD)
Phone: (800) 883-7243

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X A73147 California

Profile Details

NPI number 1861406563
LBN Legal business name Diablo Pain Management, Prof Corp
DBA Doing business as
Authorized official Ali, Mir E Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 28th, 2006
Last updated Aug 22nd, 2020 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861406563 NPPES
Other 1417912726 NPI TYPE 1

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