Healthcare Provider Details

I. General information

NPI: 1851508568
Provider Name (Legal Business Name): COMPREHENSIVE HEADACHE AND MIGRAINE -PAIN CLINIC-A MEDICAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/16/2007
Last Update Date: 03/02/2022
Certification Date: 03/02/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

347 E BARSTOW AVE STE 102
FRESNO CA
93710-6039
US

IV. Provider business mailing address

PO BOX 7010
SANTA MONICA CA
90406-7010
US

V. Phone/Fax

Practice location:
  • Phone: 559-550-4344
  • Fax: 559-550-6011
Mailing address:
  • Phone: 310-393-9308
  • Fax: 310-393-9407

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ERNESTINA H. SAXTON
Title or Position: PRESIDENT AND CEO
Credential: MD, PHD
Phone: 310-927-0920