Mission Hills Pain Management Medical Corporation
Organization Active NPI Pain Clinic/Center · Northridge, CA
NPI 1235374372 · NPPES record last updated May 12, 2023
Key facts
- NPI
- 1235374372
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pain Clinic/Center 261QP3300X
- License
- 0002402666-0001-2 (CA)
- Legal business name
- MISSION HILLS PAIN MANAGEMENT MEDICAL CORPORATION
- Practice address
- 19871 Nordhoff St
Northridge, CA 91324-3331 - Phone
- (818) 359-8833
- Fax
- (877) 727-9225
- NPI assigned
- Dec 3, 2008
- Organization subpart
- No
Authorized official
- Name
- Kiumars Arfai, MD
- Title
- Ceo
- Phone
- (818) 359-8833
Practitioners 7
-
Jeffrey M Bell, CRNA
-
Phyllis Kantor, CRNA
-
Kiumars Arfai, MD
-
Bijan Hoorfar, PA
-
Arshia Mirzadeh, PA
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090601000546 | CA | Part B Supplier - Clinic/Group Practice | 4284783853 |
Receives reassigned benefits from 6 practitioners Practice locations: Northridge, CA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Clinic/Center | 261QP3300X | 0002402666-0001-2 | CA | Yes |
| Pain Clinic/Center | 261QP3300X |
Addresses
Primary practice location
19871 Nordhoff St
Northridge, CA 91324-3331
Mailing address
PO Box 515804
Los Angeles, CA 90051-3104
Phone (909) 493-3800
Other practice location 1
3299 Old Conejo Rd Ste 6
Newbury Park, CA 91320-2152
Phone (805) 454-9088
Other providers in Northridge, CA
- Haydee Miranda
- Luz Liliana Miranda
- Inessa Miretsky
- Howard Leonard Misheloff
- Mission City Community Network, Inc.
- Valeria Mitjans Morales
- MK Jefferson MD Anesthesia Servics, Inc.
- Nune Mkheyan
- MM Good Care Hospice Inc
- Ali-Raad Moattar
All providers in Northridge, CA · Pain Clinic/Center in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 12, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.