| Los Angeles Pain & Wellness Institute | |
|
1245 Wilshire Blvd Suite 403 Los Angeles CA 90017-4810 | |
| (213) 482-1046 | |
| (213) 482-4811 |
| Full Name | Los Angeles Pain & Wellness Institute |
|---|---|
| Speciality | Physical Medicine & Rehabilitation |
| Location | 1245 Wilshire Blvd, Los Angeles, California |
| Authorized Official Name and Position | Jorge Damian Minor (PRESIDENT) |
| Authorized Official Contact | 2134821046 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Los Angeles Pain & Wellness Institute 1245 Wilshire Blvd Suite 403 Los Angeles CA 90017-4810 Ph: (213) 482-1046 | Los Angeles Pain & Wellness Institute 1245 Wilshire Blvd Suite 403 Los Angeles CA 90017-4810 Ph: (213) 482-1046 |
| NPI Number | 1558316984 |
|---|---|
| Provider Enumeration Date | 05/24/2006 |
| Last Update Date | 10/25/2007 |
| Medicare PECOS PAC ID | 5799796397 |
|---|---|
| Medicare Enrollment ID | O20060929000510 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558316984 | NPI | - | NPPES |
| Provider Name | Jorge D Minor |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1073598074 PECOS PAC ID: 3375528037 Enrollment ID: I20040618000836 |
| Provider Name | Robert G Galbraith |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1780717587 PECOS PAC ID: 8628025285 Enrollment ID: I20050405001358 |
| Provider Name | Gregorio G Fajardo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649478918 PECOS PAC ID: 3072673219 Enrollment ID: I20081222000546 |
| Provider Name | Richard Boghossian |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1770743635 PECOS PAC ID: 0547306524 Enrollment ID: I20091005000548 |
| Provider Name | Victoria Haghnazarian |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1225294002 PECOS PAC ID: 0345498515 Enrollment ID: I20120912000662 |
| Provider Name | Melody Nicole Abbene |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1457786717 PECOS PAC ID: 8527338250 Enrollment ID: I20170727003298 |
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