INNOVATIVE PAIN MANAGEMENT MEDICAL GROUP – NPI #1902330285
Physical Medicine & Rehabilitation

A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.

INNOVATIVE PAIN MANAGEMENT MEDICAL GROUP is a provider located in NATIONAL CITY, CA. NPPES has assigned the NPI number 1902330285 to INNOVATIVE PAIN MANAGEMENT MEDICAL GROUP on April 13, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2081P2900X from the Health Care Provider Taxonomy code set, which is classified as Physical Medicine & Rehabilitation, specializing in Pain Medicine

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for INNOVATIVE PAIN MANAGEMENT MEDICAL GROUP below.

NPI Profile for
INNOVATIVE PAIN MANAGEMENT MEDICAL GROUP

NPI Number
1902330285
Enumeration Date

(more than 9 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
INNOVATIVE PAIN MANAGEMENT MEDICAL GROUP
Primary location
610 EUCLID AVE
SUITE 301
NATIONAL CITY, CA 91950-2951
Phone: (619) 434-4019 Fax: (619) 434-4023
Mailing address
333 W HARBOR DR
SUITE 126
SAN DIEGO, CA 92101-7709
Phone: (619) 434-4019 Fax: (619) 434-4023
Organization Subpart
No
Authorized Official
BRENTON WYNN
PRESIDENT
Phone: (619) 434-4019
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2081P2900X
- Physical Medicine & Rehabilitation / Pain Medicine (Primary)
CA A73257
261QP3300X
- Clinic/Center / Pain
CA

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.