Provider Demographics
NPI:1477990224
Name:REMEDY PAIN SOLUTIONS, INC.
Entity Type:Organization
Organization Name:REMEDY PAIN SOLUTIONS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:DR
Authorized Official - First Name:AKASH
Authorized Official - Middle Name:
Authorized Official - Last Name:BAJAJ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:310-382-6906
Mailing Address - Street 1:4644 LINCOLN BLVD STE 424
Mailing Address - Street 2:
Mailing Address - City:MARINA DEL REY
Mailing Address - State:CA
Mailing Address - Zip Code:90292-6390
Mailing Address - Country:US
Mailing Address - Phone:310-482-6906
Mailing Address - Fax:866-724-6330
Practice Address - Street 1:2021 SANTA MONICA BLVD STE 337E
Practice Address - Street 2:
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90404-2146
Practice Address - Country:US
Practice Address - Phone:310-482-6906
Practice Address - Fax:866-724-6330
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-03
Last Update Date:2013-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA83927208VP0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain MedicineGroup - Multi-Specialty