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SOUTHERN CALIFORNIA PAIN AND SPINE INC. NPI 1154608909


NPI Information

NPI: 1154608909
Provider Name: SOUTHERN CALIFORNIA PAIN AND SPINE, INC.
Classification: Pain Medicine - 208VP0014X
Entity Type: Organization

Specialization: Interventional Pain Medicine

CLIA Number: 05D1072545

Address:
1180 N INDIAN CANYON DR
STE W200
PALM SPRINGS, CA
ZIP 92262
Phone: (408) 370-9080
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SOUTHERN CALIFORNIA PAIN AND SPINE, INC. is an interventional pain medicine pain medicine in Palm Springs, CA. The provider is interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. SOUTHERN CALIFORNIA PAIN AND SPINE, INC. NPI is 1154608909. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1180 N INDIAN CANYON DR
STE W200
PALM SPRINGS, CA
ZIP 92262-800
Phone: (408) 370-9080

The provider's authorized official is Aiden M Clarke .
The authorized official title is Owner and has the following contact phone number (619) 564-7463.

The CLIA number assigned to this NPI record is 05D1072545 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/8/2011 and was last updated on 3/9/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208VP0014XPain MedicineInterventional Pain MedicineG64292CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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