Provider Demographics
NPI:1932671856
Name:NORTH COUNTY PAIN INSTITUTE
Entity Type:Organization
Organization Name:NORTH COUNTY PAIN INSTITUTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LENG
Authorized Official - Middle Name:
Authorized Official - Last Name:KY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:951-675-0530
Mailing Address - Street 1:15725 BOWL CREEK RD
Mailing Address - Street 2:
Mailing Address - City:POWAY
Mailing Address - State:CA
Mailing Address - Zip Code:92064-2044
Mailing Address - Country:US
Mailing Address - Phone:442-444-0537
Mailing Address - Fax:760-888-2079
Practice Address - Street 1:940 E VALLEY PKWY STE K
Practice Address - Street 2:
Practice Address - City:ESCONDIDO
Practice Address - State:CA
Practice Address - Zip Code:92025-3441
Practice Address - Country:US
Practice Address - Phone:442-444-0537
Practice Address - Fax:760-466-9313
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-18
Last Update Date:2018-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Single Specialty