Organization Name: | NEURO SPINE AND HEADACHE PAIN MANAGEMENT CENTER |
NPI Number: | 1427292671 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SAYED MONIS (OWNER) |
Mailing Address: | 18575 Gale Ave Suite 288 City Of Industry |
State: | CA US |
Postal Code: | 917481340 |
Phone Number: | 6269646440 |
Fax Number: | 6269646445 |
NPI Enumeration Date: | 04/30/2009 |
NPI Last Update Date: | 04/30/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP3300X |
License Number: | A101939 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Pain |
Taxonomy Definition: |