Healthcare Provider Details

I. General information

NPI: 1407145808
Provider Name (Legal Business Name): PHARMAPAIN, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/06/2011
Last Update Date: 04/06/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 W HUNTINGTON DR SUITE 215
ARCADIA CA
91007-3462
US

IV. Provider business mailing address

301 W HUNTINGTON DR SUITE 215
ARCADIA CA
91007-3462
US

V. Phone/Fax

Practice location:
  • Phone: 626-294-4866
  • Fax:
Mailing address:
  • Phone: 626-294-4866
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: NABIL DAHI
Title or Position: CEO
Credential: M.D.
Phone: 626-294-4866