PREMIER PAIN MANAGEMENT, INC. (NPI# 1962805242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962805242 |
| Entity Type | Organization |
| Organization Name | PREMIER PAIN MANAGEMENT, INC. |
| Practice Address |
11650 Riverside Dr 2nd Floor North Hollywood CA 91602-1093 |
| Practice Telephone | 8187531520 |
| Practice Fax Number | 8187551870 |
| Mailing Telephone | 8187531520 |
| Mailing Fax Number | 8187551870 |
| Enumeration Date | 2014-10-01 |
| Last Update Date | 2014-10-01 |
| Authorized Official Name | BENJAMIN BROUKHIM (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 8187531520 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP3300X |
Clinic/Center Specialization: Pain |
Ambulatory Health Care Facilities |
| Street Address |
11650 RIVERSIDE DR 2ND FLOOR |
| City | NORTH HOLLYWOOD |
| State | CA |
| Zip Code | 91602-1093 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548281371 | Erin T. Childs | Marriage & Family Therapist | 11650 Riverside Dr, Suite 7, North Hollywood, CA 91602-1093 | 2006-07-21 |
| 1326592205 | Leigh Lustig | Psychologist | 11650 Riverside Dr, Suite 10, North Hollywood, CA 91602-1093 | 2016-08-09 |
| 1841643392 | Aline Manouguian | Marriage & Family Therapist | 11650 Riverside Dr, 10, North Hollywood, CA 91602-1093 | 2016-07-20 |
| 1073965497 | Soker Psychotherapy and Licensed Clinical Social Work Services, Inc. | Social Worker | 11650 Riverside Dr, Suite 10, North Hollywood, CA 91602-1093 | 2016-07-09 |
| 1447655188 | Mohsen Safaie Pt Inc. | Specialist | 11650 Riverside Dr, 2nd Floor, North Hollywood, CA 91602-1093 | 2014-10-23 |
| 1023248481 | Sapphire Medical | Radiology | 11650 Riverside Dr, Ste 6, North Hollywood, CA 91602-1093 | 2009-07-20 |
| 1336386630 | Professional Pharmacy Services, Inc. | Home Infusion | 11650 Riverside Dr, #6, North Hollywood, CA 91602-1093 | 2009-01-08 |
| 1962659151 | Benjamin Broukhim M.d. A Medical Corp | Orthopaedic Surgery | 11650 Riverside Dr, Second Floor, North Hollywood, CA 91602-1093 | 2008-08-19 |
| 1548270028 | Studio City Orthopedic & Medical Group | Orthopaedic Surgery | 11650 Riverside Dr, Second Floor, North Hollywood, CA 91602-1093 | 2006-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679112882 | Da Oum Remnant Acupuncture Corporation | Acupuncturist | 10674 Riverside Drive, North Hollywood, CA 91602 | 2020-01-06 |
| 1043704927 | Brandi Carter | Nurse Practitioner | 10222 Camarillo St Apt 107, Toluca Lake, CA 91602 | 2018-06-14 |
| 1669904587 | Katelyn Story Kalstein | Naturopath | 11650 Riverside Dr., Ph-2a, Studio City, CA 91602 | 2017-03-30 |
| 1255781118 | Karla Morales | Dental Hygienist | 10707 Camarillo St, #305, West Toluca Lake, CA 91602 | 2016-06-21 |
| 1457738536 | Mallory Garrett | Marriage & Family Therapist | 10737 Riverside Dr, N Hollywood, CA 91602 | 2015-04-28 |
| 1831590322 | Victoria J. Chan | Nurse Practitioner | 4418 Vineland Avenue Suite 102, Toluca Lake, CA 91602 | 2014-09-16 |
| 1679916076 | Richard Villasenor | Ophthalmology | 10520 Camarillo St, Toluca Lake, CA 91602 | 2013-04-16 |
| 1275878233 | Julissa Trusty | Marriage & Family Therapist | 11334 Camarillo St, North Hollywood, CA 91602 | 2012-12-03 |
| 1265789531 | Marina Serobyan | Marriage & Family Therapist | 10999 Riverside Drive, Suite 306, Toluca Lake, CA 91602 | 2012-08-06 |
| 1407133457 | Hearing Aid Counselors, Inc | Durable Medical Equipment & Medical Supplies | 11008 Riverside Dr, Toluca Lake, CA 91602 | 2011-11-04 |
| Find all providers in zip 91602 | ||||
| Taxonomy Code | 261QP3300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Pain |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295345668 | Marin Regenerative Health | Clinic/Center | 1744 Novato Blvd Ste 100, Novato, CA 94947-3092 | 2020-07-31 |
| 1689219594 | Koda Therapy Group | Clinic/Center | 2421 Park Blvd Ste B205, Palo Alto, CA 94306-1998 | 2019-11-14 |
| 1184278293 | Acu Therapy Pain Clinic, Inc | Clinic/Center | 1840 Westwood Blvd, Los Angeles, CA 90025-4612 | 2019-07-26 |
| 1851944110 | Onyx Pain Management Medical Corporation | Clinic/Center | 1250 S Sunset Ave Ste 206, West Covina, CA 91790-3962 | 2019-07-16 |
| 1063078293 | Regenerative Health and Wellness Institute | Clinic/Center | 4207 Del Rey Ave, Marina Del Rey, CA 90292-5605 | 2019-05-14 |
| 1740843374 | Green Creek Acupuncture,inc | Clinic/Center | 20735 Stevens Creek Blvd Ste D, Cupertino, CA 95014-2104 | 2019-04-18 |
| 1013478130 | Advanced Pain Medical Group, Inc. | Clinic/Center | 655 W Avenue Q Ste B, Palmdale, CA 93551-3894 | 2019-03-29 |
| 1609350669 | Edgar Celis Md Inc | Clinic/Center | 1050 Northgate Dr Ste 460, San Rafael, CA 94903-2542 | 2018-09-17 |
| 1356848915 | Ensele Enterprises Consulting Inc | Clinic/Center | 5030 Parkway Calabasas, Calabasas, CA 91302-1422 | 2018-04-10 |
| 1730691973 | Ageless Acupuncture Health Center | Clinic/Center | 46923 Warm Springs Blvd Ste 206, Fremont, CA 94539-7977 | 2017-10-27 |
| Find all providers with the same taxonomy | ||||
| City | NORTH HOLLYWOOD |
| Zip Code | 91602 |
Please comment or provide details below to improve the information on PREMIER PAIN MANAGEMENT, INC..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.