Provider Demographics
NPI:1114287760
Name:CIMA PAIN MANAGEMENT AND REHABILITATION LLC
Entity Type:Organization
Organization Name:CIMA PAIN MANAGEMENT AND REHABILITATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:WEBB
Authorized Official - Suffix:
Authorized Official - Credentials:PA-C
Authorized Official - Phone:702-476-2287
Mailing Address - Street 1:PO BOX 36340
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89133-6340
Mailing Address - Country:US
Mailing Address - Phone:702-476-2287
Mailing Address - Fax:702-476-2035
Practice Address - Street 1:1321 S RAINBOW BLVD STE 101
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89146-9047
Practice Address - Country:US
Practice Address - Phone:702-476-2287
Practice Address - Fax:702-476-2035
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-16
Last Update Date:2012-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty