Pain Diagnostic And Treatment Center Lp

LBN: Pain Diagnostic And Treatment Center Lp
Pain Diagnostic And Treatment Center Lp is an health care organization with primary practice located at 2805 J. St Ste 200, Sacramento CA 95816-4307. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Pain Diagnostic And Treatment Center Lp can be contacted via phone (916) 462-9800, or through Boon, Eric via phone (480) 567-0269.

Contact Information

Primary practice address
2805 J. St Ste 200 Sacramento CA 95816-4307
Fax: (916) 462-9801
Website:
Authorized official contact:
Name: Boon, Eric

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X 030000705 California

Profile Details

NPI number 1780689802
LBN Legal business name Pain Diagnostic And Treatment Center Lp
DBA Doing business as
Authorized official Boon, Eric
Entity Organization
Organization subpart 1 No
Enumeration date Jun 15th, 2005
Last updated Dec 29th, 2022 - about 2 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 1780689802 NPPES
California Other 490004875 RAILROAD MEDICARE
California Other 0153037 RAILROAD MEDICARE
California Other 184315700 RAILROAD MEDICARE
California MEDICAID SUR01481F RAILROAD MEDICARE
California Other ZZZH3417A RAILROAD MEDICARE

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