Provider Demographics
NPI:1104488832
Name:US PAIN CLINIC INC
Entity type:Organization
Organization Name:US PAIN CLINIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:RAMESH
Authorized Official - Middle Name:
Authorized Official - Last Name:AMIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:661-873-0005
Mailing Address - Street 1:356 E OLIVE AVE STE 112
Mailing Address - Street 2:
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91502-1260
Mailing Address - Country:US
Mailing Address - Phone:747-229-9000
Mailing Address - Fax:818-562-7171
Practice Address - Street 1:356 E OLIVE AVE STE 112
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91502-1260
Practice Address - Country:US
Practice Address - Phone:747-229-9000
Practice Address - Fax:818-562-7171
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-02
Last Update Date:2019-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty