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NPI Code Detail

MEDICARE: PAIN CONTROL SOLUTION, INC.

MEDICARE: PAIN CONTROL SOLUTION, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician

General Provider Information

NPI Number : 1609153691
Entity Type Code : Organization
Provider Name (Legal Business Name) : PAIN CONTROL SOLUTION, INC.
Provider Business Mailing Address
First Line : 4601 WILSHIRE BLVD
Second Line : 3RD FLOOR
City : LOS ANGELES
State : CA
Zip : 90010-3880
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4601 WILSHIRE BLVD
Second Line : 3RD FLOOR
City : LOS ANGELES
State : CA
Zip : 90010-3880
Country : US
Telephone Number : 323-556-3470
Fax Number :
Authorized Official
Title or Position : DOCTOR
Name : DR. IGOR BOYARSKY
Credential : D.O.
Telephone Number : 323-556-3470
Provider Enumeration Date : 11/04/2011
Last Update Date : 11/08/2011

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Directions to “PAIN CONTROL SOLUTION, INC. ” Practice Location

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