Advanced Pain Medical Group
Organization Active NPI Interventional Pain Medicine Physician · Thousand Oaks, CA
NPI 1861933749 · NPPES record last updated Oct 23, 2018
Key facts
- NPI
- 1861933749
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Interventional Pain Medicine Physician 208VP0014X
- Legal business name
- ADVANCED PAIN MEDICAL GROUP
- Practice address
- 110 Jensen CT Ste 1C
Thousand Oaks, CA 91360-7484 - Phone
- (818) 348-7246
- Fax
- (818) 348-7248
- NPI assigned
- Mar 13, 2017
- Organization subpart
- No
Authorized official
- Name
- Dr. Vimal Satyjit Lala, D.O., M.P.H.
- Title
- President / Owner
- Phone
- (818) 348-7246
Corporate family (same tax ID) 19
National Provider Directory
- Tax ID family
- Advanced Pain Medical
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician |
207L00000X | |||
| Pain Medicine Physician |
208VP0000X | |||
| Interventional Pain Medicine Physician |
208VP0014X | Yes |
Addresses
Primary practice location
110 Jensen CT Ste 1C
Thousand Oaks, CA 91360-7484
Mailing address
7230 Medical Center Dr
Suite 500
West Hills, CA 91307-1907
Phone (818) 348-7246
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- Advanced Family Therapy Inc
- Advanced Gastroenterology, Inc.
- Advanced Hearing, Inc.
- Advanced Pain Medical Group, Inc
- Advanced Physical Therapy and Sports Medicine
- Advanced Quality Hospice, Inc.
- Advanced Sleep Care
- Advanced Sleep Medicine Services Inc
All providers in Thousand Oaks, CA · Interventional Pain Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 23, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.