MEDICARE: PAIN FREE, P.C.

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	225X00000X	Occupational Therapist	OT15545	CA

General Provider Information

NPI Number	:	1386062743
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PAIN FREE, P.C.

Provider Business Mailing Address
First Line	:	6286 BEACH BLVD
Second Line	:
City	:	BUENA PARK
State	:	CA
Zip	:	90621-2351
Country	:	US
Telephone Number	:	714-736-0075
Fax Number	:	714-736-0076

Provider Business Practice Location Address
First Line	:	6286 BEACH BLVD
Second Line	:
City	:	BUENA PARK
State	:	CA
Zip	:	90621-2351
Country	:	US
Telephone Number	:	714-736-0075
Fax Number	:	714-736-0076

Authorized Official
Title or Position	:	PRESIDENT
Name	:	HEIDI HYOJUNG CHOI
Credential	:	O.T.
Telephone Number	:	714-736-0075

Provider Enumeration Date	:	04/02/2014
Last Update Date	:	11/12/2015

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Directions to “PAIN FREE, P.C. ” Practice Location

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