LA BREA MEDICAL CLINIC PAIN MANAGEMENT, INC
NPI 1871817460
Internal Medicine in Culver City, CA

Active since March 25, 2010
3831 HUGHES AVE, 705, CULVER CITY, CA 90232(310) 558-8600(310) 558-8650 Get Directions Write a Review

NPPES record last updated: March 25, 2010. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About La Brea Medical Clinic Pain Management, Inc NPPES

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

LA BREA MEDICAL CLINIC PAIN MANAGEMENT, INC (NPI 1871817460) is a healthcare organization registered as an internal medicine in Culver City, California and active in the NPI registry since March 2010. The organization lists Leslie D. Paul, Owner, as its authorized official.

NPPES Registry Identity

NPI1871817460
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameLA BREA MEDICAL CLINIC PAIN MANAGEMENT, INC
Location Address3831 HUGHES AVE, 705Culver City, CA 90232-2751
Mailing Address3831 Hughes Ave, 705Culver City, CA 90232-2751 · (310) 558-8600 · Fax (310) 558-8650
Fax(310) 558-8650
Organization SubpartNo
Authorized OfficialLeslie D. PaulOwner · (310) 558-8600
Enumeration DateMarch 25, 2010
✔ NPI 1871817460 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · G61506
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
3831 HUGHES AVE, Culver City, CA 90232

Other Identifiers 3

MedicaidOOG615060CA
Medicare UPINE28287CA
Medicare PING61506CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

La Brea Medical Clinic Pain Management, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to La Brea Medical Clinic Pain Management, Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Internal Medicine
NPI 1366509499
3831 HUGHES AVE SUITE 705
Culver City, CA 90232
(310) 558-8600
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is La Brea Medical Clinic Pain Management, Inc's NPI number?

The NPI number for La Brea Medical Clinic Pain Management, Inc is 1871817460. It was assigned to this organization in the NPPES registry on March 25, 2010.

Where is La Brea Medical Clinic Pain Management, Inc located?

La Brea Medical Clinic Pain Management, Inc is located at 3831 Hughes Ave 705, Culver City, CA 90232. The listed phone number is (310) 558-8600.

What is La Brea Medical Clinic Pain Management, Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is La Brea Medical Clinic Pain Management, Inc enrolled in Medicare?

Yes. La Brea Medical Clinic Pain Management, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through La Brea Medical Clinic Pain Management, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to La Brea Medical Clinic Pain Management, Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for La Brea Medical Clinic Pain Management, Inc was last updated on March 25, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.