Healthcare Provider Details

I. General information

NPI: 1851832463
Provider Name (Legal Business Name): ADVANCED PAIN MEDICAL GROUP, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/15/2017
Last Update Date: 07/15/2024
Certification Date: 07/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4500 TRADE CENTER DR
BAKERSFIELD CA
93311-8716
US

IV. Provider business mailing address

7230 MEDICAL CENTER DR STE 500
WEST HILLS CA
91307-4024
US

V. Phone/Fax

Practice location:
  • Phone: 661-735-5597
  • Fax: 661-735-5204
Mailing address:
  • Phone: 818-348-7253
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: SYLVIE YANG
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 818-657-5642