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NPI Code Detail

MEDICARE: COMPREHENSIVE PAIN CARE MEDICAL CENTERS INC.

MEDICARE: COMPREHENSIVE PAIN CARE MEDICAL CENTERS INC.
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
1207LP2900XPain Medicine (Anesthesiology) PhysicianA40394CA

General Provider Information

NPI Number : 1962405878
Entity Type Code : Organization
Provider Name (Legal Business Name) : COMPREHENSIVE PAIN CARE MEDICAL CENTERS INC.
Provider Business Mailing Address
First Line : 2650 ELM AVE STE 218
Second Line :
City : LONG BEACH
State : CA
Zip : 90806-1653
Country : US
Telephone Number : 562-485-5020
Fax Number : 562-494-6660
Provider Business Practice Location Address
First Line : 2650 ELM AVE
Second Line : STE 218
City : LONG BEACH
State : CA
Zip : 90806-1653
Country : US
Telephone Number : 562-424-2900
Fax Number : 562-424-3200
Authorized Official
Title or Position : PRESIDENT
Name : DR. GEORGES F ELKHOURY
Credential : M.D.
Telephone Number : 562-485-5020
Provider Enumeration Date : 05/24/2005
Last Update Date : 08/02/2023

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Directions to “COMPREHENSIVE PAIN CARE MEDICAL CENTERS INC. ” Practice Location

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