MEDICARE: LOS ANGELES PAIN MEDICINE PARTNERS

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	207LP2900X	Pain Medicine (Anesthesiology) Physician	A98860	CA

General Provider Information

NPI Number	:	1619172038
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LOS ANGELES PAIN MEDICINE PARTNERS

Provider Business Mailing Address
First Line	:	955 CARRILLO DR STE 105
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90048-5400
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	955 CARRILLO DR STE 105
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90048-5400
Country	:	US
Telephone Number	:	323-939-7246
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ANDREW ENGEL
Credential	:	MD
Telephone Number	:	323-939-7246

Provider Enumeration Date	:	06/16/2007
Last Update Date	:	08/02/2007

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Directions to “LOS ANGELES PAIN MEDICINE PARTNERS ” Practice Location

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