Organization Name: | TUSTIN PAIN MANAGEMENT AND PSYCHIATRIC GROUP INC. |
NPI Number: | 1083980627 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DANIA MCCLANAHAN (BUSINESS OFFICE MANAGER) |
Mailing Address: | 131 E Huntington Dr Arcadia |
State: | CA US |
Postal Code: | 910063212 |
Phone Number: | 7145432554 |
Fax Number: | 7145432212 |
NPI Enumeration Date: | 03/28/2012 |
NPI Last Update Date: | 04/28/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | A37952 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |