Provider Demographics
NPI:1750886511
Name:PAIN CONTROL CLINIC
Entity type:Organization
Organization Name:PAIN CONTROL CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:L.AC
Authorized Official - Prefix:MS
Authorized Official - First Name:YUCHEN
Authorized Official - Middle Name:
Authorized Official - Last Name:LIN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD LAC
Authorized Official - Phone:213-626-7682
Mailing Address - Street 1:321 E. 1ST ST. #220
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90012
Mailing Address - Country:US
Mailing Address - Phone:213-626-7682
Mailing Address - Fax:231-687-0903
Practice Address - Street 1:321 E. 1ST ST. #220
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90012
Practice Address - Country:US
Practice Address - Phone:213-626-7682
Practice Address - Fax:231-687-0903
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-26
Last Update Date:2018-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty