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Pain Control & Sports Medicine
Health Service Clinic/Center in San Jose, California
NPI 1720865421

Pain Control & Sports Medicine is a Health Service Clinic/Center based in San Jose, CA and is specialized in Health Service. Pain Control & Sports Medicine practices in San Jose, CA. The NPI Number for Pain Control & Sports Medicine is 1720865421 and holds a License No. (California).

The current practice location address for Pain Control & Sports Medicine is 4040 Moorpark Ave Ste 104, San Jose, CA and can be reached out via phone at 626-512-6221.

Location: 4040 Moorpark Ave Ste 104, San Jose, CA, 95117-1851
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1720865421
Provider Name
Pain Control & Sports Medicine
Credential
Provider Entity Type
Organization
Address
4040 Moorpark Ave Ste 104, San Jose, CA, 95117-1851
Phone Number
626-512-6221
Fax Number
Provider Enumeration Date
09/14/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
4040 Moorpark Ave Ste 104
City
San Jose
State
California
Zip
95117-1851
Phone Number
626-512-6221
Fax Number
person
Provider Business Mailing Address Details
Address
4040 Moorpark Ave Ste 104
City
San Jose
State
California
Zip
95117-1851
Phone Number
626-512-6221
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
()
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Health Service
Taxonomy
261QH0100X
License No.
()
Definition
Definition to come...
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