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General NPI Number Information
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NPI Number | 1891449518
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Entity Type | Organization
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Legal Business Name | ADVANCED PAIN CARE LLC
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Dates
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Enumeration Date | 02/10/2022
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Last Update Date | 02/10/2022
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Provider Practice Location Address
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Address Line | 29050 S WESTERN AVE STE 152
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City | RANCHO PALOS VERDES
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State | CA
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Zip | 90275-0812
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Country | US
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Telephone | 310-995-6291
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Fax |
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Provider Business Mailing Address
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Address Line | 2583 PACIFIC COAST HWY
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City | TORRANCE
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State | CA
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Zip | 90505-7035
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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 | ONWER
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Name | DR. MUNISH LAL
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Credential | MD
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Telephone | 310-995-6291
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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