INTERVENTIONAL SPINE CENTER LLC NPI 1639498579

NPI Information

NPI: 1639498579
Provider Name: INTERVENTIONAL SPINE CENTER, LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
2888 LONG BEACH BLVD
SUITE 210
LONG BEACH, CA
ZIP 90806
Phone: (562) 426-7246
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INTERVENTIONAL SPINE CENTER, LLC is an ambulatory surgical clinic center in Long Beach, CA. INTERVENTIONAL SPINE CENTER, LLC NPI is 1639498579. The provider is registered as an organization entity type.

The provider's business location address is:

2888 LONG BEACH BLVD
SUITE 210
LONG BEACH, CA
ZIP 90806
Phone: (562) 426-7246

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 5/17/2010 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
1	261QA1903X	Clinic/Center	Ambulatory Surgical			Yes

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

NPI Synchronization or Removal

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