Provider Demographics
NPI:1851508568
Name:COMPREHENSIVE HEADACHE AND MIGRAINE -PAIN CLINIC-A MEDICAL CORPORATION
Entity Type:Organization
Organization Name:COMPREHENSIVE HEADACHE AND MIGRAINE -PAIN CLINIC-A MEDICAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT AND CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ERNESTINA
Authorized Official - Middle Name:H
Authorized Official - Last Name:SAXTON
Authorized Official - Suffix:
Authorized Official - Credentials:MD, PHD
Authorized Official - Phone:310-927-0920
Mailing Address - Street 1:PO BOX 7010
Mailing Address - Street 2:
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90406-7010
Mailing Address - Country:US
Mailing Address - Phone:310-393-9308
Mailing Address - Fax:310-393-9407
Practice Address - Street 1:347 E BARSTOW AVE STE 102
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93710-6039
Practice Address - Country:US
Practice Address - Phone:559-550-4344
Practice Address - Fax:559-550-6011
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-16
Last Update Date:2022-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty