Healthcare Provider Details

I. General information

NPI: 1730326752
Provider Name (Legal Business Name): PHARMAPAIN, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/13/2009
Last Update Date: 01/13/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

960 E. GREEN STREET SUITE 110
PASADENA CA
91106-2401
US

IV. Provider business mailing address

301 W. HUNTINGTON DRIVE SUITE 215
ARCADIA CA
91007-1528
US

V. Phone/Fax

Practice location:
  • Phone: 626-294-4866
  • Fax: 626-294-4872
Mailing address:
  • Phone: 626-394-4866
  • Fax: 626-294-4872

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License NumberA53113
License Number StateCA

VIII. Authorized Official

Name: NABIL S. DAHI
Title or Position: PRESIDENT
Credential: M.D.
Phone: 626-294-4866