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PACIFIC SPINE AND WELLNESS PC NPI 1306275854


NPI Information

NPI: 1306275854
Provider Name: PACIFIC SPINE AND WELLNESS PC
Classification: Radiology - 2085R0204X
Entity Type: Organization

Specialization: Vascular & Interventional Radiology

Address:
3300 IRVINE AVE STE 307
NEWPORT BEACH, CA
ZIP 92660
Phone: (949) 724-1800
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PACIFIC SPINE AND WELLNESS PC is a vascular and interventional radiology radiology in Newport Beach, CA. The provider is a radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. PACIFIC SPINE AND WELLNESS PC NPI is 1306275854. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3300 IRVINE AVE STE 307
NEWPORT BEACH, CA
ZIP 92660-108
Phone: (949) 724-1800
Fax: (949) 724-1811

The provider's authorized official is Mary Eberhart .
The authorized official title is Owner and has the following contact phone number (949) 724-1800.

The enumeration date for this NPI number is 11/5/2013 and was last updated on 11/5/2013.


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
1111N00000XChiropractorDC26382CALIFORNIANo
22085R0204XRadiologyVascular & Interventional RadiologyA70967CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
126382MEDICARE UPINCALIFORNIA
2H20460MEDICARE UPINCALIFORNIA

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: 4/28/2024

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