Specializing in State-of-the-Art Minimally Invasive Techniques for Pain Management.

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UCLA Pain Management Center  |  1245 16th St., Suite 225, Santa Monica, CA 90404
(310) 794-1841  |  Fax: (310) 319-2263

For more information, or to schedule an evaluation, please call (310) 794-1841. You may also Request an Appointment by filling out the form below. 

 

The UCLA Pain Management Center is located at 1245 16th St, Suite 225, Santa Monica, CA 90404.

 

Online Appointment Request

 

Please fill out the form below and we will contact you to confirm your appointment request.

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First Name

M.I.

Last Name

Address Line 1

Address Line 2

City

State

Zip Code

E-mail Address

Phone

Alternate Phone

Fax

E-mail

Phone

Fax

Best time to call

Questions/Comments:

Type of Insurance

Refering Physicians name (Mandatory for HMO patients)

Name of Insureance Company

Type pf Pain (where/how long)

Other physicians seen for the pain

(Note: we only accept Medi-Cal patients referred by other UCLA physicians)

Bold = Required Field

Appointments