Basic Information
| Provider Information | |||||||||
| NPI: | 1669769980 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | JOSEPH SHURMAN MD INTEGRATIVE PAIN MANAGEMENT INC | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 87972 | ||||||||
| Address2: | |||||||||
| City: | SAN DIEGO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 921387972 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8582440110 | ||||||||
| FaxNumber: | 8582440150 | ||||||||
| Practice Location | |||||||||
| Address1: | 9834 GENESEE AVE STE 427 | ||||||||
| Address2: | |||||||||
| City: | LA JOLLA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 920371264 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6196917000 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/07/2011 | ||||||||
| LastUpdateDate: | 07/18/2011 | ||||||||
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| AuthorizedOfficialLastName: | SHURMAN | ||||||||
| AuthorizedOfficialFirstName: | JOSEPH | ||||||||
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| AuthorizedOfficialTitleorPosition: | OWNER - SOLE PROPRIETOR | ||||||||
| AuthorizedOfficialTelephone: | 8583449024 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207LP2900X | G22250 | CA | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Anesthesiology | Pain Medicine |
No ID Information.