Healthcare Provider Details

I. General information

NPI: 1538649751
Provider Name (Legal Business Name): ON PAIN MEDICAL, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/16/2018
Last Update Date: 02/18/2026
Certification Date: 02/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

451 MANHATTAN BEACH BLVD STE B210
MANHATTAN BEACH CA
90266-5366
US

IV. Provider business mailing address

1601 N SEPULVEDA BLVD # 404
MANHATTAN BEACH CA
90266-5111
US

V. Phone/Fax

Practice location:
  • Phone: 310-947-6000
  • Fax:
Mailing address:
  • Phone: 310-947-6000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License NumberA132634
License Number StateCA

VIII. Authorized Official

Name: GABRIEL BARNARD
Title or Position: OWNER
Credential: MD
Phone: 310-751-4337