SOUTHERN CALIFORNIA CENTER FOR PAIN MANAGEMENT - NPI 1144526773

Q: What is the provider's specialty?

The provider's specialty is Pain Medicine with taxonomy code 208VP0014X and a focus in Interventional Pain Medicine.

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About Southern California Center For Pain Management NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHERN CALIFORNIA CENTER FOR PAIN MANAGEMENT (NPI 1144526773) is a healthcare organization registered as an interventional pain medicine in Pomona, California and active in the NPI registry since January 2011. The organization maintains a secondary practice location in Chino and lists Bryan X Lee, President, as its authorized official.

NPPES Registry Identity

NPI1144526773

Entity TypeOrganization

Primary Taxonomy208VP0014X

Legal Business NameBRYAN X LEE MD A PROFESSIONAL MEDICAL CORPORATION

Location Address250 W BONITA AVE, SUITE 160Pomona, CA 91767-1863

Mailing AddressPo Box 2240Walnut, CA 91788-2240 · (909) 593-1002 · Fax (909) 593-1004

Phone(909) 593-1002

Fax(888) 257-3888

Organization SubpartNo

Authorized OfficialBryan X LeePresident · (909) 593-1002

Enumeration DateJanuary 30, 2011

Last NPPES UpdateFebruary 16, 20233 updates tracked since enumeration

NPPES CertifiedFebruary 16, 2023

✔ NPI 1144526773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians

Taxonomy Code208VP0014X

License✔ Licensed in CA · A91137

Definition

Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

Also ListedAnesthesiology · Pain MedicineTaxonomy 207LP2900X · License A91137 (CA)

Also ListedInternal MedicineTaxonomy 207R00000X · License A96828 (CA)

250 W BONITA AVE, Pomona, CA 91767

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Other Names 1

Doing Business AsSouthern California Center For Pain Management

Secondary Practice Location 1

Location 113768 Roswell Ave Ste 215Chino, CA 91710-1407 · Phone (909) 593-1002 · Fax (888) 257-3888

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP