Unknown Individual – Pain Medicine Physician, NPI 1184649147
Pain Medicine Physician
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Riverside Drive, Whitneys Landing, Severna Park, Anne Arundel County, Maryland, 21146, United States
SUITE 208
NORTH HOLLYWOOD, CA 916073327
Phone: (818) 506-5197
Fax: (818) 506-5634
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 91607)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Medicine And Rehabilitation, Pain Management | AZ | |
| - | CA | |
| - | CA | |
| - | CA | |
| - | CA | |
| Nurse Practitioner | CA | |
| Clinical Psychologist | CA | |
| - | CA | |
| Neurology, Pain Management | CA | |
| Clinical Psychologist | CA |
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