Basic Information
| Provider Information | |||||||||
| NPI: | 1326011388 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | PAICIUS | ||||||||
| FirstName: | RICHARD | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2415 CAMPUS DR | ||||||||
| Address2: | SUITE 110 | ||||||||
| City: | IRVINE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 926121527 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9499993600 | ||||||||
| FaxNumber: | 9499998371 | ||||||||
| Practice Location | |||||||||
| Address1: | 450 NEWPORT CENTER DR | ||||||||
| Address2: | SUITE 650 | ||||||||
| City: | NEWPORT BEACH | ||||||||
| State: | CA | ||||||||
| PostalCode: | 926607610 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9496445800 | ||||||||
| FaxNumber: | 9496445813 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/09/2006 | ||||||||
| LastUpdateDate: | 07/23/2014 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207LP2900X | G53385 | CA | Y | Allopathic & Osteopathic Physicians | Anesthesiology | Pain Medicine |
No ID Information.