Healthcare Provider Details

I. General information

NPI: 1962405878
Provider Name (Legal Business Name): COMPREHENSIVE PAIN CARE MEDICAL CENTERS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/24/2005
Last Update Date: 08/02/2023
Certification Date: 08/02/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2650 ELM AVE STE 218
LONG BEACH CA
90806-1653
US

IV. Provider business mailing address

2650 ELM AVE STE 218
LONG BEACH CA
90806-1653
US

V. Phone/Fax

Practice location:
  • Phone: 562-424-2900
  • Fax: 562-424-3200
Mailing address:
  • Phone: 562-485-5020
  • Fax: 562-494-6660

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License NumberA40394
License Number StateCA

VIII. Authorized Official

Name: DR. GEORGES F ELKHOURY
Title or Position: PRESIDENT
Credential: M.D.
Phone: 562-485-5020