Promed Pain Relief Inc.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

PROMED PAIN RELIEF INC.

Practice address

4601 Wilshire Blvd
3Rd Floor
Los Angeles, CA 90010-3880

Phone

(323) 556-3470

NPI assigned

Feb 22, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Rosalia Glosman, MD

Title

President

Phone

(323) 556-3470

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1361491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361491200000",
    "number": "1134469414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 N OAKHURST DR",
            "address_2": "202",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902105742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 WILSHIRE BLVD",
            "address_2": "3RD FLOOR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900103880",
            "telephone_number": "323-556-3470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMED PAIN RELIEF INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-22",
        "last_updated": "2013-02-22",
        "status": "A",
        "authorized_official_last_name": "GLOSMAN",
        "authorized_official_first_name": "ROSALIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-556-3470",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Promise Recovery
• Promise Strtp
• Promise Transitional Homes Dba Promise Strtp

• All providers in Los Angeles, CA
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.