Organization Name: | PAIN MEDICINE CONSULTANTS, INC. |
NPI Number: | 1740685205 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | WILLIAM COOPER LONGTON (MD) |
Mailing Address: | 2250 Morello Ave 2nd Floor Pleasant Hill |
State: | CA US |
Postal Code: | 945231860 |
Phone Number: | 9252871505 |
Fax Number: | 9252870913 |
NPI Enumeration Date: | 10/27/2014 |
NPI Last Update Date: | 10/27/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | G71946 |
Healthcare Provider Taxonomy: (Secondary) | Y |
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. |