| Organization Name: | ZEN CENTER FOR PAIN MANAGEMENT & WELLNESS |
| NPI Number: | 1003261538 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DINORA NAVA OLESON (ADMINISTRATOR) |
| Mailing Address: | 1835 W Redlands Blvd Ste 100 Redlands |
| State: | CA US |
| Postal Code: | 923733118 |
| Phone Number: | 9512637202 |
| Fax Number: | 9492690672 |
| NPI Enumeration Date: | 05/03/2016 |
| NPI Last Update Date: | 05/03/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP3300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Pain |
| Taxonomy Definition: | |