MM Pain Management Center

Primary specialty

NutritionistTaxonomy code 133N00000X

License

16210 Issued in CA

Legal business name

MM PAIN MANAGEMENT CENTER

Practice address

1007 39TH St
Sacramento, CA 95816-5502

Phone

(877) 205-3537

NPI assigned

Jul 25, 2016

Last updated

Jul 25, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Wei Li

Title

Owner

Phone

(877) 205-3537

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1469404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469404800000",
    "number": "1245783364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 39TH ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958165502",
            "telephone_number": "877-205-3537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 39TH ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958165502",
            "telephone_number": "877-205-3537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MM PAIN MANAGEMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-25",
        "last_updated": "2016-07-25",
        "status": "A",
        "authorized_official_last_name": "LI",
        "authorized_official_first_name": "WEI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "877-205-3537"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "CA",
            "license": "16210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maudie Mkandawire
• Takudzwa Mkorombindo
• Norayr Mkrtchyan
• Rebecca Mkrtchyan
• Yelena Mkrtychan
• MM Unlimited Inc. (Bridges Recovery Network)
• MM Unlimited Inc. (Bridges Recovery Network)
• MM Unlimited Inc. (Bridges Recovery Network)
• MM Unlimited LLC
• Susanna Mnatsakanian

• Nutritionist in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Nutritionist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2016; 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.