| Pacific Pain & Wellness Group | |
|
23510 Crenshaw Blvd Ste 100 Torrance CA 90505-5203 | |
| (310) 437-7399 | |
| (310) 437-7398 |
| Full Name | Pacific Pain & Wellness Group |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 23510 Crenshaw Blvd Ste 100, Torrance, California |
| Authorized Official Name and Position | Kartik Ananth (PRESIDENT) |
| Authorized Official Contact | 3104377399 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pacific Pain & Wellness Group 23150 Crenshaw Blvd Ste 100 Torrance CA 90505-3025 Ph: (310) 437-7399 | Pacific Pain & Wellness Group 23510 Crenshaw Blvd Ste 100 Torrance CA 90505-5203 Ph: (310) 437-7399 |
| NPI Number | 1174800452 |
|---|---|
| Provider Enumeration Date | 11/15/2011 |
| Last Update Date | 03/22/2024 |
| Certification Date | 03/22/2024 |
| Medicare PECOS PAC ID | 7810163482 |
|---|---|
| Medicare Enrollment ID | O20120103000273 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174800452 | NPI | - | NPPES |
| Provider Name | Kartik Ananth |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1821279423 PECOS PAC ID: 0941353213 Enrollment ID: I20111005000795 |
| Provider Name | Gelareh Solomon |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1457582140 PECOS PAC ID: 9638390073 Enrollment ID: I20141028000917 |
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