Pain Management a Professional Corporation

Organization Active
NPI 1366811176
Addiction Psychiatry Physician Newport Beach, CA

NPI 1366811176 belongs to Pain Management a Professional Corporation, an addiction psychiatry physician with a practice location in Newport Beach, CA. The NPI was issued on September 22, 2015, and the record was last updated in NPPES on April 6, 2018. The record lists 4 taxonomy codes.

This record hasn't been updated in NPPES since 2018. Details may be out of date.

Taxonomies and licenses

TaxonomyCodeLicense
Addiction Psychiatry Physician Primary 2084P0802X A52207 (CA)
Psychosomatic Medicine Physician 2084P0015X A52207 (CA)
Psychiatry Physician 2084P0800X A52207 (CA)
Psychiatric/Mental Health Nurse Practitioner 363LP0808X (CA)

Practice location

1601 Dove St Ste 100
Newport Beach, CA 92660-2410
Phone: (877) 669-8511

Local context

Active NPPES records list 15 providers with addiction psychiatry physician as the primary taxonomy within 25 miles of this practice location's ZIP code, 5 of them within 10 miles.

The same primary taxonomy is listed by 111 in California and 948 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Status
Active
NPI issued
Last updated in NPPES

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NPPES data as of · Source: CMS NPPES

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