Provider Demographics
NPI:1922782085
Name:MISSION ADVANCED PAIN MANAGEMENT & SPINE CENTER, P.C.
Entity Type:Organization
Organization Name:MISSION ADVANCED PAIN MANAGEMENT & SPINE CENTER, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ALFRED
Authorized Official - Middle Name:JOSEPH SADEK
Authorized Official - Last Name:BESHAI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:949-441-5445
Mailing Address - Street 1:PO BOX 4065
Mailing Address - Street 2:
Mailing Address - City:MISSION VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92690-4065
Mailing Address - Country:US
Mailing Address - Phone:949-441-5445
Mailing Address - Fax:994-441-5450
Practice Address - Street 1:5750 DOWNEY AVE STE 201
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CA
Practice Address - Zip Code:90712-1468
Practice Address - Country:US
Practice Address - Phone:949-441-5445
Practice Address - Fax:949-441-5450
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MISSION ADVANCED PAIN MANAGEMENT & SPINE CENTER, P.C.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-06-09
Last Update Date:2023-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Single Specialty