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PACIFIC SPINE AND PAIN CENTER INC NPI 1235470634


NPI Information

NPI: 1235470634
Provider Name: PACIFIC SPINE AND PAIN CENTER INC
Classification: Pain Medicine - 208VP0014X
Entity Type: Organization

Specialization: Interventional Pain Medicine

CLIA Number: 05D2107608

Address:
805 W ACEQUIA AVE STE 1D
VISALIA, CA
ZIP 93291
Phone: (559) 713-6515
Get Directions

PACIFIC SPINE AND PAIN CENTER INC is an interventional pain medicine pain medicine in Visalia, 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. PACIFIC SPINE AND PAIN CENTER INC NPI is 1235470634. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

805 W ACEQUIA AVE STE 1D
VISALIA, CA
ZIP 93291-163
Phone: (559) 713-6515

The provider's authorized official is Brandon Sorensen .
The authorized official title is Medical Director and has the following contact phone number (559) 713-6515.

The CLIA number assigned to this NPI record is 05D2107608 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 3/9/2013 and was last updated on 6/2/2013.


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
1208VP0014XPain MedicineInterventional Pain MedicineA124459CALIFORNIAYes

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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