Healthcare Provider Details

I. General information

NPI: 1972481059
Provider Name (Legal Business Name): SEKIWALA PAIN MANAGEMENT P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/26/2025
Last Update Date: 08/26/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5000 BIRCH STREET SUITE 3000
NEWPORT BEACH CA
92660
US

IV. Provider business mailing address

3857 BIRCH STREET SUITE 3139
NEWPORT BEACH CA
92660
US

V. Phone/Fax

Practice location:
  • Phone: 714-234-7485
  • Fax: 714-701-1078
Mailing address:
  • Phone: 714-234-7485
  • Fax: 714-701-1078

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. EDWIN SAMUEL KULUBYA SR.
Title or Position: PROVIDER
Credential: M.D
Phone: 714-234-7485