Acadia Pain Management Group, Inc.

LBN: Acadia Pain Management Group, Inc.
Acadia Pain Management Group, Inc. is an health care organization with primary practice located at 4704 Hoen Ave , Santa Rosa CA 95405-7824. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as the primary health care specialty. Acadia Pain Management Group, Inc. can be contacted via phone (707) 546-7979, or through Tran, Michael Long via phone (707) 546-7979.

Contact Information

Primary practice address
4704 Hoen Ave Santa Rosa CA 95405-7824
Phone: (707) 546-7979
Fax: (707) 546-7667
Website:
Map and Directions
Authorized official contact:
Name: Tran, Michael Long Doctor of Medicine (MD)
Phone: (707) 546-7979

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X

Profile Details

NPI number 1154630044
LBN Legal business name Acadia Pain Management Group, Inc.
DBA Doing business as
Authorized official Tran, Michael Long Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 27th, 2010
Last updated Nov 4th, 2015 - about 10 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 1154630044 NPPES
California Other EZ666A PTAN

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