Innovative Pain Management Medical Group

LBN: Innovative Pain Management Medical Group
Innovative Pain Management Medical Group is an health care organization with primary practice located at 610 Euclid Ave Suite 301, National City CA 91950-2951. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Ambulatory Health Care Facilities / Pain. Allopathic & Osteopathic Physicians / Pain Medicine is the primary health care specialty. Innovative Pain Management Medical Group can be contacted via phone (619) 434-4019, or through Wynn, Brenton D via phone (619) 434-4019.

Contact Information

Primary practice address
610 Euclid Ave Suite 301 National City CA 91950-2951
Phone: (619) 434-4019
Fax: (619) 434-4023
Website:
Map and Directions
Authorized official contact:
Name: Wynn, Brenton D Doctor of Medicine (MD)
Phone: (619) 434-4019

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X A73257 California
Ambulatory Health Care Facilities / Pain 261QP3300X California

Profile Details

NPI number 1902330285
LBN Legal business name Innovative Pain Management Medical Group
DBA Doing business as
Authorized official Wynn, Brenton D Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 13th, 2017
Last updated Apr 13th, 2017 - about 7 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.

Request for update

Popular Providers