| Us Pain Clinic Inc | |
|
356 E Olive Ave Ste 112 Burbank CA 91502-1260 | |
| (747) 229-9000 | |
| (818) 562-7171 |
| Full Name | Us Pain Clinic Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 356 E Olive Ave Ste 112, Burbank, California |
| Authorized Official Name and Position | Ramesh Amin (MANAGER) |
| Authorized Official Contact | 6618730005 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Us Pain Clinic Inc 356 E Olive Ave Ste 112 Burbank CA 91502-1260 Ph: (747) 229-9000 | Us Pain Clinic Inc 356 E Olive Ave Ste 112 Burbank CA 91502-1260 Ph: (747) 229-9000 |
| NPI Number | 1104488832 |
|---|---|
| Provider Enumeration Date | 07/02/2019 |
| Last Update Date | 07/02/2019 |
| Medicare PECOS PAC ID | 8426389842 |
|---|---|
| Medicare Enrollment ID | O20191015002878 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104488832 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Gohar Gevorgyan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619107083 PECOS PAC ID: 2668598194 Enrollment ID: I20100922000099 |
| Provider Name | Vladislav Melnichenko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528348273 PECOS PAC ID: 3072784420 Enrollment ID: I20120130000845 |
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