OrganizationActive
Interdisciplanary Pain Management
NPI 1992888994 · Lodging Provider · Palmdale, CA
Provider details
- NPI number
- 1992888994
- Entity type
- Organization
- Primary specialty
- Lodging ProviderOther Service Providers
- Organization subpart
- No
- Authorized official
- Lance Jackson, Ceo(661) 267-6876
Specialties & taxonomies
Other Service Providers
Practice location
819 Auto Center Drive
Palmdale, CA 93551
Phone: (661) 267-6876
Fax: (661) 538-9438
Approximate (ZIP-level) locationGet directions
Mailing address
819 Auto Center Drive
Palmdale, CA 93551
Registry dates
- Enumerated
- 2006-10-23
- Last updated
- 2007-11-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.