Advanced Pain Medical Group

Organization Active NPI Interventional Pain Medicine Physician · Burbank, CA

NPI 1124569009 · NPPES record last updated Mar 13, 2017

Key facts

NPI
1124569009
Entity type
Organization (NPI type 2)
Primary specialty
Interventional Pain Medicine Physician 208VP0014X
Legal business name
ADVANCED PAIN MEDICAL GROUP
Practice address
201 S Buena Vista St
Suite 300
Burbank, CA 91505-4569
Phone
(818) 348-7246
Fax
(818) 348-7248
NPI assigned
Mar 13, 2017
Organization subpart
No

Authorized official

Name
Dr. Vimal Satyjit Lala, D.O., M.P.H.
Title
President / Owner
Phone
(818) 348-7246

Corporate family (same tax ID) 19

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Advanced Pain Medical (20 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207L00000X
Pain Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP
208VP0000X
Interventional Pain Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP
208VP0014X Yes

Addresses

Primary practice location

201 S Buena Vista St
Suite 300
Burbank, CA 91505-4569

Mailing address

7230 Medical Center Dr
Suite 500
West Hills, CA 91307-1907
Phone (818) 348-7246

Other providers in Burbank, CA

All providers in Burbank, CA · Interventional Pain Medicine Physician in California

Sources for this page

Verify at the official NPI Registry.