Basic Information
| Provider Information | |||||||||
| NPI: | 1952601353 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | REMEDY MEDICAL GROUP | ||||||||
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| Mailing Information | |||||||||
| Address1: | P.O. BOX 6917 | ||||||||
| Address2: | |||||||||
| City: | REDWOOD CITY | ||||||||
| State: | CA | ||||||||
| PostalCode: | 940633108 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6503069490 | ||||||||
| FaxNumber: | 6503060250 | ||||||||
| Practice Location | |||||||||
| Address1: | REMEDY MEDICAL GROUP | ||||||||
| Address2: | 1900 O'FARRELL ST. STE 190 | ||||||||
| City: | SAN MATEO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 94403 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6503069490 | ||||||||
| FaxNumber: | 6503060250 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/01/2010 | ||||||||
| LastUpdateDate: | 03/07/2019 | ||||||||
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| AuthorizedOfficialLastName: | SMOLINS | ||||||||
| AuthorizedOfficialFirstName: | DAVID | ||||||||
| AuthorizedOfficialMiddleName: | F | ||||||||
| AuthorizedOfficialTitleorPosition: | MD | ||||||||
| AuthorizedOfficialTelephone: | 6503069490 | ||||||||
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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 | 208VP0014X | Y | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Pain Medicine | Interventional Pain Medicine |
No ID Information.