Provider Demographics
NPI:1871866921
Name:CHRONIC PAIN SOLUTION CENTER, INC
Entity Type:Organization
Organization Name:CHRONIC PAIN SOLUTION CENTER, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:W
Authorized Official - Last Name:ARMFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:714-573-9991
Mailing Address - Street 1:1442 IRVINE BLVD
Mailing Address - Street 2:SUITE 121
Mailing Address - City:TUSTIN
Mailing Address - State:CA
Mailing Address - Zip Code:92780-3801
Mailing Address - Country:US
Mailing Address - Phone:714-573-0001
Mailing Address - Fax:
Practice Address - Street 1:1442 IRVINE BLVD
Practice Address - Street 2:SUITE 121
Practice Address - City:TUSTIN
Practice Address - State:CA
Practice Address - Zip Code:92780-3801
Practice Address - Country:US
Practice Address - Phone:714-573-9991
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-21
Last Update Date:2012-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC10495111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAJADC10495OtherMEDICARE