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PAIN DIAGNOSTIC AND TREATMENT CENTER LP

Surgery Yellow Pages

Sacramento, California

Provider NPI: 1780689802

Organization Information:
Organization Name:  PAIN DIAGNOSTIC AND TREATMENT CENTER LP


Practice Location:
2805 J. ST STE 200 SACRAMENTO, CA 95816 US
Tel: 916-231-8755  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y261QA1903XAmbulatory Health Care Facilities
Clinic/Center
Ambulatory Surgical
CA030000705

Other Provider Identifiers:

IssuerNumberStateType
STATE OF WA DEPT OF LABOR0153037CA01
US DEPT OF LABOR184315700CA01
RAILROAD MEDICARE490004875CA01
SUR01481FCA05
BLUE SHIELD OF CAZZZH3417ACA01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin



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