Healthcare Provider Details

I. General information

NPI: 1477990224
Provider Name (Legal Business Name): REMEDY PAIN SOLUTIONS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2013
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13160 MINDANAO WAY # 200B
MARINA DEL REY CA
90292-6358
US

IV. Provider business mailing address

13157 MINDANAO WAY # 614
MARINA DEL REY CA
90292-6307
US

V. Phone/Fax

Practice location:
  • Phone: 310-482-6906
  • Fax:
Mailing address:
  • Phone: 310-482-6906
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License NumberA83927
License Number StateCA

VIII. Authorized Official

Name: STEPHANIE JONES
Title or Position: BILLING MANAGER
Credential:
Phone: 855-257-4239