Provider Demographics
NPI:1538641857
Name:RELIVE YOU CENTER FOR ADVANCED PAIN MANAGEMENT
Entity Type:Organization
Organization Name:RELIVE YOU CENTER FOR ADVANCED PAIN MANAGEMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT, CFO, COO
Authorized Official - Prefix:
Authorized Official - First Name:BRITTANY
Authorized Official - Middle Name:DANIELLE
Authorized Official - Last Name:GROVEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:858-945-0990
Mailing Address - Street 1:8901 ACTIVITY RD STE 104
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92126-4436
Mailing Address - Country:US
Mailing Address - Phone:858-345-4646
Mailing Address - Fax:877-526-9423
Practice Address - Street 1:8901 ACTIVITY RD STE 104
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92126
Practice Address - Country:US
Practice Address - Phone:858-345-4646
Practice Address - Fax:877-526-9423
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-04
Last Update Date:2019-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Single Specialty