Pain Management Care and Chiropractic Clinic Inc

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

DC23316 Issued in CA

Legal business name

PAIN MANAGEMENT CARE AND CHIROPRACTIC CLINIC INC

Practice address

1414 S Azusa Ave
Suite B6
West Covina, CA 91791-4088

Phone

(626) 917-8706

Fax

(626) 917-8759

NPI assigned

Aug 20, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Mahmoun Matin, DC

Title

Chiropractor

Phone

(626) 917-8706

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1282262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282262400000",
    "number": "1306152996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 S AZUSA AVE",
            "address_2": "SUITE B6",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917914088",
            "telephone_number": "626-917-8706",
            "fax_number": "626-917-8759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 S AZUSA AVE",
            "address_2": "SUITE B6",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917914088",
            "telephone_number": "626-917-8706",
            "fax_number": "626-917-8759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN MANAGEMENT CARE AND CHIROPRACTIC CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-20",
        "last_updated": "2010-08-20",
        "status": "A",
        "authorized_official_last_name": "MATIN",
        "authorized_official_first_name": "MAHMOUN",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "626-917-8706",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "CA",
            "license": "DC23316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marie Padilla, PTA
• Maya Padilla
• Samuel Paik, PA-C
• Seung Wook Paik, DDS
• Pain Management Care & Chiropractic, Inc.
• Yunchul John Pak, MD
• Diana Palacios
• Mark Anthony Palacios, P.T.
• Antonette S Pallugna
• Susana Palomino de Los Santos

• Exclusive Provider Organization in West Covina, CA
• Providers in West Covina, CA by specialty
• Exclusive Provider Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2010; 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.