Therapeutic Pain Management Medical Clinic

LBN: Therapeutic Pain Management Medical Clinic
Therapeutic Pain Management Medical Clinic is an health care organization with primary practice located at 1335 Buenaventura Blvd #100, Redding CA 96001-0160. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as the primary health care specialty. Therapeutic Pain Management Medical Clinic can be contacted via phone (530) 241-0410, or through Hansen, Robert via phone 5302462410410.

Contact Information

Primary practice address
1335 Buenaventura Blvd #100 Redding CA 96001-0160
Fax: (530) 241-0472
Website:
Authorized official contact:
Name: Hansen, Robert Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X

Profile Details

NPI number 1720295249
LBN Legal business name Therapeutic Pain Management Medical Clinic
DBA Doing business as
Authorized official Hansen, Robert Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 16th, 2007
Last updated Mar 3rd, 2010 - about 14 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 1720295249 NPPES
California Other A043275 DE. DHRUVA'S MD LIC #
California MEDICAID PENDING DE. DHRUVA'S MD LIC #
California Other G047619 DE. DHRUVA'S MD LIC #
California Other A070414 DE. DHRUVA'S MD LIC #

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