MEDICARE: PAIN & INJURY INSTITUTE PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	111N00000X	Chiropractor
2	207T00000X	Neurological Surgery Physician
3	2081P2900X	Pain Medicine (Physical Medicine & Rehabilitation) Physician
4	2251X0800X	Orthopedic Physical Therapist
5	261QP3300X	Pain Clinic/Center

General Provider Information

NPI Number	:	1013750512
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PAIN & INJURY INSTITUTE PC

Provider Business Mailing Address
First Line	:	3097 MOORPARK AVE STE 200
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95128-2543
Country	:	US
Telephone Number	:	408-244-7246
Fax Number	:

Provider Business Practice Location Address
First Line	:	3097 MOORPARK AVE STE 200
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95128-2543
Country	:	US
Telephone Number	:	408-244-7246
Fax Number	:

Authorized Official
Title or Position	:	AUTHORIZED OFFICIAL
Name	:	DR. MICHAEL JADALI
Credential	:	D.O.
Telephone Number	:	408-244-7246

Provider Enumeration Date	:	06/13/2024
Last Update Date	:	06/14/2024

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Directions to “PAIN & INJURY INSTITUTE PC ” Practice Location

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