Provider Demographics
NPI:1467799742
Name:PAIN AND HEALING INSTITUTE
Entity type:Organization
Organization Name:PAIN AND HEALING INSTITUTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NADIV
Authorized Official - Middle Name:
Authorized Official - Last Name:SAMIMI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:310-856-9488
Mailing Address - Street 1:1964 WESTWOOD BLVD
Mailing Address - Street 2:SUITE 435
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90025-4651
Mailing Address - Country:US
Mailing Address - Phone:310-856-9488
Mailing Address - Fax:310-817-6402
Practice Address - Street 1:1964 WESTWOOD BLVD
Practice Address - Street 2:STE.#435
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90025-4695
Practice Address - Country:US
Practice Address - Phone:310-903-8878
Practice Address - Fax:310-817-6402
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-07
Last Update Date:2016-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA207L00000X, 207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Multi-Specialty
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAHA670AMedicare PIN