| Menlo Park Pain Relief Center | |
|
1620 El Camino Real Menlo Park CA 94025-4112 | |
| (650) 380-0137 | |
| (650) 321-8815 |
| Full Name | Menlo Park Pain Relief Center |
|---|---|
| Speciality | Clinic/center |
| Location | 1620 El Camino Real, Menlo Park, California |
| Authorized Official Name and Position | Lewis Erwin Connor (OWNER) |
| Authorized Official Contact | 6503800137 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Menlo Park Pain Relief Center 1620 El Camino Real Menlo Park CA 94025-4112 Ph: (650) 380-0137 | Menlo Park Pain Relief Center 1620 El Camino Real Menlo Park CA 94025-4112 Ph: (650) 380-0137 |
| NPI Number | 1407047715 |
|---|---|
| Provider Enumeration Date | 08/05/2007 |
| Last Update Date | 08/05/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407047715 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 16314 (California) | Primary |
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