Pacific Pain Control Clinic

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

FNP21284 Issued in CA

Legal business name

PACIFIC PAIN CONTROL CLINIC

Practice address

9201 W Sunset BLVS
# 612
Los Angeles, CA 90069

Phone

(714) 522-2001

Fax

(714) 522-7503

NPI assigned

Feb 3, 2009

Organization subpart

No

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

Authorized official

Name

Musya Branovan

Title

Owner

Phone

(714) 522-2001

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1233619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233619200000",
    "number": "1992943666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7439 LA PALMA AVE",
            "address_2": "# 120",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906202698",
            "telephone_number": "714-522-2001",
            "fax_number": "714-522-7503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9201 W SUNSET BLVS",
            "address_2": "# 612",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90069",
            "telephone_number": "714-522-2001",
            "fax_number": "714-522-7503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC PAIN CONTROL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-03",
        "last_updated": "2009-02-03",
        "status": "A",
        "authorized_official_last_name": "BRANOVAN",
        "authorized_official_first_name": "MUSYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-522-2001"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "FNP21284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pacific Neuroscience Institute Medical Group Inc
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• Pacific Ocean Medical Clinic
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• Pacific Orthopedic and Rehabilitation Medical Center, Inc.
• Pacific Recovery Solutions
• Pacific Recovery Solutions
• Pacific Recovery Solutions
• Pacific Rejuvenation Medical, a Professional Corp.
• Pacific Rim Electrophysiology Medical GRP, Inc.

• Ambulatory Surgical Clinic/Center in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2009; 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.