| Advanced Interventional Pain And Wellness Center Inc | |
|
6700 Indiana Ave Suite 145 Riverside CA 92506-4290 | |
| (951) 248-9240 | |
| (951) 248-9263 |
| Full Name | Advanced Interventional Pain And Wellness Center Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 6700 Indiana Ave, Riverside, California |
| Authorized Official Name and Position | Larry Gilbert Ding (MEDICAL DIRECTOR) |
| Authorized Official Contact | 9494441886 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Interventional Pain And Wellness Center Inc 218 Avenida La Cuesta San Clemente CA 92672-2139 Ph: (949) 444-1885 | Advanced Interventional Pain And Wellness Center Inc 6700 Indiana Ave Suite 145 Riverside CA 92506-4290 Ph: (951) 248-9240 |
| NPI Number | 1053568030 |
|---|---|
| Provider Enumeration Date | 08/21/2008 |
| Last Update Date | 04/13/2017 |
| Medicare PECOS PAC ID | 4183788193 |
|---|---|
| Medicare Enrollment ID | O20090205000147 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053568030 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QM2500X | Clinic/center - Medical Specialty | A66008 (California) | Primary |
| Provider Name | Larry G Ding |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1750325643 PECOS PAC ID: 7214833011 Enrollment ID: I20090205000143 |
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