institution
Pain Diagnostic And Treatment Center Lp
Ambulatory Surgical Clinic/Center in Sacramento, California
NPI 1780689802

Pain Diagnostic And Treatment Center Lp is an Ambulatory Surgical Clinic/Center based in Sacramento, CA and is specialized in Ambulatory Surgical. Pain Diagnostic And Treatment Center Lp practices in Sacramento, CA. The NPI Number for Pain Diagnostic And Treatment Center Lp is 1780689802 and holds a License No. 030000705 (California).

The current practice location address for Pain Diagnostic And Treatment Center Lp is 2805 J. St, Sacramento, CA and can be reached out via phone at 916-462-9800 and via fax at 916-462-9801.

Location: 2805 J. St, Sacramento, CA, 95816-4307
institution
Provider Profile Details
NPI Number
1780689802
Provider Name
Pain Diagnostic And Treatment Center Lp
Credential
Provider Entity Type
Organization
Address
2805 J. St, Sacramento, CA, 95816-4307
Phone Number
916-462-9800
Fax Number
916-462-9801
Provider Enumeration Date
06/15/2005
Last Update Date
11/16/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
SUR01481F 05 CA
490004875 01 CA RAILROAD MEDICARE
184315700 01 CA US DEPT OF LABOR
ZZZH3417A 01 CA BLUE SHIELD OF CA
0153037 01 CA STATE OF WA DEPT OF LABOR
institution
Provider Business Practice Location Address Details
Address
2805 J. St
City
State
Zip
95816-4307
Phone Number
916-462-9800
Fax Number
916-462-9801
person
Provider Business Mailing Address Details
Address
2805 J. St
City
State
Zip
95816-4307
Phone Number
916-462-9800
Fax Number
916-462-9801
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ambulatory Surgical
Taxonomy
License No.
030000705 (California)
Definition
Definition to come...
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