Provider Demographics
NPI:1255741831
Name:CLEVELAND PAIN MANAGEMENT AND ACUPUNCTURE LLC
Entity type:Organization
Organization Name:CLEVELAND PAIN MANAGEMENT AND ACUPUNCTURE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ENGLOK
Authorized Official - Middle Name:
Authorized Official - Last Name:YAP
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:216-339-2069
Mailing Address - Street 1:24755 CHAGRIN BLVD STE 135
Mailing Address - Street 2:
Mailing Address - City:BEACHWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44122-5689
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:24755 CHAGRIN BLVD STE 135
Practice Address - Street 2:
Practice Address - City:BEACHWOOD
Practice Address - State:OH
Practice Address - Zip Code:44122-5689
Practice Address - Country:US
Practice Address - Phone:216-339-2069
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-05
Last Update Date:2014-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35067417207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Single Specialty