Provider Demographics
NPI:1386062743
Name:PAIN FREE, P.C.
Entity type:Organization
Organization Name:PAIN FREE, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HEIDI
Authorized Official - Middle Name:HYOJUNG
Authorized Official - Last Name:CHOI
Authorized Official - Suffix:
Authorized Official - Credentials:OT
Authorized Official - Phone:714-736-0075
Mailing Address - Street 1:6286 BEACH BLVD
Mailing Address - Street 2:
Mailing Address - City:BUENA PARK
Mailing Address - State:CA
Mailing Address - Zip Code:90621-2351
Mailing Address - Country:US
Mailing Address - Phone:714-736-0075
Mailing Address - Fax:714-736-0076
Practice Address - Street 1:6286 BEACH BLVD
Practice Address - Street 2:
Practice Address - City:BUENA PARK
Practice Address - State:CA
Practice Address - Zip Code:90621-2351
Practice Address - Country:US
Practice Address - Phone:714-736-0075
Practice Address - Fax:714-736-0076
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-02
Last Update Date:2015-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAOT15545225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty