NPI 1538466651

Advance Pain Management Group

Organisation Health Maintenance Organization Northridge, CA

Practice location

Address: 11177 Tampa Ave. Suite B, Northridge, CA 91326-2254
Phone: (818) 366-0474
Fax: (818) 474-7530
Mailing address: P.O. Box 8000, Northridge, CA 91327-8000

Authorised official

Name: Shubha M Jain
Title: Chief Executive
Phone: (818) 366-0474

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X

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Registry record

NPI: 1538466651
Entity type: Organization
NPI issued: 25 Feb 2011
Record last updated: 26 Jan 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.