Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Pain Medicine Specialty Group Inc

Organization Pain Medicine Physician · NPI 1770624702

Pain Medicine Specialty Group Inc provides Pain Medicine Physician services in Fountain Valley, California. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11160 Warner Ave 417
Fountain Valley, CA 92708-4008 Not confirmed with CMS for 10 years — call before visiting
Phone: (714) 424-9300
Fax: (714) 424-9324
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine Physician (primary) Taxonomy 208VP0000X

Record details

NPI number1770624702
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Chiwai Chan — President · (714) 424-9300
NPI enumeratedFebruary 11, 2007
Last updated in NPPESJune 17, 2016
Mailing address11160 Warner Ave, 417, Fountain Valley, CA 92708-4008

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