| Organization Name: | ADVANCE PAIN MANAGEMENT GROUP |
| NPI Number: | 1538466651 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SHUBHA M JAIN (CHIEF EXECUTIVE) |
| Mailing Address: | 11177 Tampa Ave. Suite B Northridge |
| State: | CA US |
| Postal Code: | 913262254 |
| Phone Number: | 8183660474 |
| Fax Number: | 8184747530 |
| NPI Enumeration Date: | 02/25/2011 |
| NPI Last Update Date: | 01/26/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 302R00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Managed Care Organizations |
| Taxonomy Classification: | Health Maintenance Organization |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) A form of health insurance in which its members prepay a premium for the HMO |