Summit Pain Alliance Inc

LBN: Summit Pain Alliance Inc
Summit Pain Alliance Inc is an health care organization with primary practice located at 392 Tesconi Ct , Santa Rosa CA 95401-4653. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Summit Pain Alliance Inc can be contacted via phone (707) 623-9803, or through Yang, Michael I via phone (707) 623-9803.

Contact Information

Primary practice address
392 Tesconi Ct Santa Rosa CA 95401-4653
Phone: (707) 623-9803
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Yang, Michael I Doctor of Medicine (MD)
Phone: (707) 623-9803

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X A112702 California

Profile Details

NPI number 1558630020
LBN Legal business name Summit Pain Alliance Inc
DBA Doing business as
Authorized official Yang, Michael I Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 29th, 2011
Last updated Apr 18th, 2018 - about 8 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 1558630020 NPPES
California Other FS634A MEDICARE PTAN

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