Pain Diagnosis & Treatment Inc., A Medical Clinic

LBN: Pain Diagnosis & Treatment Inc., A Medical Clinic
Pain Diagnosis & Treatment Inc., A Medical Clinic is an health care organization with primary practice located at 10630 Downey Ave Suite 102, Downey CA 90241-3463. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as the primary health care specialty. Pain Diagnosis & Treatment Inc., A Medical Clinic can be contacted via phone (562) 861-5170, or through Wickman, Terri via phone (626) 857-7400.

Contact Information

Primary practice address
10630 Downey Ave Suite 102 Downey CA 90241-3463
Fax:
Website:
Authorized official contact:
Name: Wickman, Terri

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X A43746 California
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X A020970 California

Profile Details

NPI number 1043493570
LBN Legal business name Pain Diagnosis & Treatment Inc., A Medical Clinic
DBA Doing business as
Authorized official Wickman, Terri
Entity Organization
Organization subpart 1 No
Enumeration date Dec 6th, 2007
Last updated Jan 12th, 2011 - about 15 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 1043493570 NPPES
California MEDICAID 00A437461

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