Provider Demographics
NPI:1467649657
Name:UNIVERSITY PAIN CONSULTANTS, INC.
Entity type:Organization
Organization Name:UNIVERSITY PAIN CONSULTANTS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RAINIER
Authorized Official - Middle Name:E
Authorized Official - Last Name:GUIANG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:951-784-7111
Mailing Address - Street 1:6900 BROCKTON AVE
Mailing Address - Street 2:SUITE 103
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92506-3801
Mailing Address - Country:US
Mailing Address - Phone:951-784-7111
Mailing Address - Fax:866-287-0329
Practice Address - Street 1:6900 BROCKTON AVE
Practice Address - Street 2:SUITE #103
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92506-3801
Practice Address - Country:US
Practice Address - Phone:951-784-7111
Practice Address - Fax:866-287-0329
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-02
Last Update Date:2013-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Single Specialty