MEDICARE: PAIN MANAGEMENT A PROFESSIONAL CORPORATION

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	2084P0015X	Psychosomatic Medicine Physician	A52207	CA
2	2084P0800X	Psychiatry Physician	A52207	CA
3	363LP0808X	Psychiatric/Mental Health Nurse Practitioner		CA
4	2084P0802X	Addiction Psychiatry Physician	A52207	CA

General Provider Information

NPI Number	:	1366811176
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PAIN MANAGEMENT A PROFESSIONAL CORPORATION

Provider Business Mailing Address
First Line	:	PO BOX 3129
Second Line	:
City	:	TORRANCE
State	:	CA
Zip	:	90510-3129
Country	:	US
Telephone Number	:	310-792-3914
Fax Number	:	855-898-4055

Provider Business Practice Location Address
First Line	:	1601 DOVE ST STE 100
Second Line	:
City	:	NEWPORT BEACH
State	:	CA
Zip	:	92660-2410
Country	:	US
Telephone Number	:	877-669-8511
Fax Number	:

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	RAAFAT W GIRGIS
Credential	:	MD
Telephone Number	:	877-669-8511

Provider Enumeration Date	:	09/22/2015
Last Update Date	:	04/06/2018

Similar Medicare Providers

1932101326 — DR. JENNIFER L FEE PSY.D.
Practice Location Address:

1601 DOVE ST STE 105
NEWPORT BEACH, CA
92660-2410

Practice Phone: 562-760-2743
Practice Fax:

1467015248 — APRIL TWENHAFEL MFT
Practice Location Address:

1601 DOVE ST STE 105
NEWPORT BEACH, CA
92660-2410

Practice Phone: 949-791-7210
Practice Fax:

1881236180 — MRS. SHEILA LYNN HANSEN
Practice Location Address:

1601 DOVE ST STE 100
NEWPORT BEACH, CA
92660-2410

Practice Phone: 949-424-4083
Practice Fax:

1760020911 — DR. BEN ROSS PSY.D.
Practice Location Address:

1601 DOVE ST STE 100
NEWPORT BEACH, CA
92660-2410

Practice Phone: 949-298-5561
Practice Fax:

1124648662 — KENNETH SIMON RIBOTSKY LMFT
Practice Location Address:

1601 DOVE ST STE 100
NEWPORT BEACH, CA
92660-2410

Practice Phone: 949-706-4248
Practice Fax:

1780250282 — DR. JENNIFER FEE PSYCHOLOGY SERVICES, INC
Practice Location Address:

1601 DOVE ST STE 105
NEWPORT BEACH, CA
92660-2410

Practice Phone: 562-760-2743
Practice Fax:

Directions to “PAIN MANAGEMENT A PROFESSIONAL CORPORATION ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.