| Advanced Spine And Pain Management Inc. | |
| 
					544 W 25th St Merced CA 95340-2828  | |
| (209) 383-3090 | |
| (209) 383-3091 | 
| Full Name | Advanced Spine And Pain Management Inc. | 
|---|---|
| Speciality | Clinic/Center | 
| Location | 544 W 25th St, Merced, California | 
| Authorized Official Name and Position | Jaimal S Sangha (PRESIDENT) | 
| Authorized Official Contact | 2093833090 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Advanced Spine And Pain Management Inc. 544 W 25th St Merced CA 95340-2828 Ph: (209) 383-3090  | Advanced Spine And Pain Management Inc. 544 W 25th St Merced CA 95340-2828 Ph: (209) 383-3090  | 
| NPI Number | 1851585301 | 
|---|---|
| Provider Enumeration Date | 08/28/2007 | 
| Last Update Date | 10/03/2024 | 
| Medicare PECOS PAC ID | 8820075054 | 
|---|---|
| Medicare Enrollment ID | O20071017000578 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1851585301 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary | 
| Provider Name | Jaimal Sangha | 
|---|---|
| Provider Type | Practitioner - Chiropractic | 
| Provider Identifiers | NPI Number: 1285747709 PECOS PAC ID: 3375534555 Enrollment ID: I20040518001513  | 
| Provider Name | Jaimal Sangha | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1285747709 PECOS PAC ID: 3375534555 Enrollment ID: I20240724001434  | 
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