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General NPI Number Information
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NPI Number | 1194244293
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Entity Type | Organization
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Legal Business Name | LOS ANGELES PAIN MANAGEMENT MEDICAL GROUP INC
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Dates
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Enumeration Date | 09/11/2017
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Last Update Date | 10/06/2022
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Provider Practice Location Address
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Address Line | 8500 WILSHIRE BLVD STE 926
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City | BEVERLY HILLS
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State | CA
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Zip | 90211-3107
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Country | US
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Telephone | 310-652-5800
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 69507
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City | WEST HOLLYWOOD
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State | CA
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Zip | 90069-0507
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | M.D. /PRESIDENT
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Name | DAVID BOCKOFF
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Credential |
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Telephone | 310-652-5800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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