Provider Demographics
NPI:1386235422
Name:LA PAIN AND PERFORMANCE
Entity type:Organization
Organization Name:LA PAIN AND PERFORMANCE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:FAIGE
Authorized Official - Middle Name:
Authorized Official - Last Name:LEVIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-605-9323
Mailing Address - Street 1:7273 ROSEWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90036-1919
Mailing Address - Country:US
Mailing Address - Phone:323-605-9323
Mailing Address - Fax:855-666-4606
Practice Address - Street 1:120 S SPALDING DR STE 305
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90212-1800
Practice Address - Country:US
Practice Address - Phone:310-861-9945
Practice Address - Fax:855-666-4606
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LA PAIN AND PEFORMANCE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-02-01
Last Update Date:2021-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Single Specialty