| Pain Management & Injury Relief Medical Center, Inc | |
|
1120 Newbury Rd Ste 100 Thousand Oaks CA 91320-3663 | |
| (805) 557-0096 | |
| (805) 557-7390 |
| Full Name | Pain Management & Injury Relief Medical Center, Inc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 1120 Newbury Rd Ste 100, Thousand Oaks, California |
| Authorized Official Name and Position | Alexander P Hersel (OWNER) |
| Authorized Official Contact | 3108084308 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pain Management & Injury Relief Medical Center, Inc 1120 Newbury Rd Ste 100 Thousand Oaks CA 91320-3663 Ph: (805) 557-0096 | Pain Management & Injury Relief Medical Center, Inc 1120 Newbury Rd Ste 100 Thousand Oaks CA 91320-3663 Ph: (805) 557-0096 |
| NPI Number | 1538702469 |
|---|---|
| Provider Enumeration Date | 10/23/2019 |
| Last Update Date | 11/06/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538702469 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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