MEDICARE: HELP PAIN MEDICAL NETWORK

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	G55824	CA

General Provider Information

NPI Number	:	1205130523
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HELP PAIN MEDICAL NETWORK

Provider Business Mailing Address
First Line	:	1900 OFARRELL ST
Second Line	:	STE. 250
City	:	SAN MATEO
State	:	CA
Zip	:	94403-1386
Country	:	US
Telephone Number	:	650-645-1100
Fax Number	:

Provider Business Practice Location Address
First Line	:	1900 OFARRELL ST
Second Line	:	STE. 250
City	:	SAN MATEO
State	:	CA
Zip	:	94403-1386
Country	:	US
Telephone Number	:	650-645-1100
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	WILLIAM G BROSE
Credential	:	M.D.
Telephone Number	:	650-645-1100

Provider Enumeration Date	:	12/29/2010
Last Update Date	:	12/29/2010

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Directions to “HELP PAIN MEDICAL NETWORK ” Practice Location

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