Pain Center

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

License

G74208 Issued in CA

Legal business name

PAIN CENTER

Practice address

817 W 17TH St
Santa Ana, CA 92706-3624

Phone

(714) 969-8287

Fax

(714) 908-7793

NPI assigned

Jun 21, 2012

Organization subpart

No

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

Authorized official

Name

Timothy E Lynch, MD

Title

Owner

Phone

(714) 991-7346

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1340236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340236800000",
    "number": "1417210683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6548 ASHBURY CIR",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926486635",
            "telephone_number": "714-991-7246",
            "fax_number": "714-908-7793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 W 17TH ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927063624",
            "telephone_number": "714-969-8287",
            "fax_number": "714-908-7793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-21",
        "last_updated": "2012-06-21",
        "status": "A",
        "authorized_official_last_name": "LYNCH",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-991-7346",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "CA",
            "license": "G74208",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G742084",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Loralee Jan Page-Ortez, RN
• Brittany Page
• Sarah Jewel Page, D.O.
• Sean Alexander Page
• Elle Paglino
• Azita Pajand, D.M.D.
• Paje Optometric a Professional Corporation
• Martha May Pajevski, OTR/L
• Geena Pak, BEHAVIORAL THERAPIST
• Michael Pak

• Pain Clinic/Center in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Pain Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2012; 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.