Provider Demographics
NPI:1235879362
Name:NORCAL PAIN TREATMENT CENTER CORP
Entity Type:Organization
Organization Name:NORCAL PAIN TREATMENT CENTER CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:
Authorized Official - Last Name:LINDENBERG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:209-484-2956
Mailing Address - Street 1:123 W NORTH BEAR CREEK DR
Mailing Address - Street 2:
Mailing Address - City:MERCED
Mailing Address - State:CA
Mailing Address - Zip Code:95348-3420
Mailing Address - Country:US
Mailing Address - Phone:209-448-3000
Mailing Address - Fax:209-442-4416
Practice Address - Street 1:123 W N BEAR CREEK DR
Practice Address - Street 2:
Practice Address - City:MERCED
Practice Address - State:CA
Practice Address - Zip Code:95348-3420
Practice Address - Country:US
Practice Address - Phone:209-448-3000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-29
Last Update Date:2022-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies