INTERVENTIONAL SPINE CENTER LLC NPI 1508318411

NPI Information

  • NPI: 1508318411
  • Provider Name: INTERVENTIONAL SPINE CENTER, LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Address: 24012 CALLE DE LA PLATA
    SUITE 130
    LAGUNA HILLS, CA
    ZIP 92653
  • Phone: (949) 588-7246

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NPI Details

INTERVENTIONAL SPINE CENTER, LLC is an ambulatory surgical clinic center in Laguna Hills, CA. INTERVENTIONAL SPINE CENTER, LLC NPI is 1508318411. The provider is registered as an organization entity type.

The provider's business location address is:

24012 CALLE DE LA PLATA
SUITE 130
LAGUNA HILLS, CA
ZIP 92653
Phone: (949) 588-7246
Fax: (877) 854-7581

The provider's authorized official is Jennifer Baldock .
The authorized official title is Officer And Authorized Official and has the following contact phone number (615) 234-5954.

The enumeration date for this NPI number is 10/26/2016 and was last updated on 3/8/2023.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA1903XClinic/CenterAmbulatory SurgicalFNP40048CALIFORNIAYes

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: 11/21/2025

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