BELLEVUE INTERVENTIONAL SPINE SPECIALIST PS NPI 1720111792

NPI Information

NPI: 1720111792
Provider Name: BELLEVUE INTERVENTIONAL SPINE SPECIALIST PS

Doing Business As: BELLEVUE SPINE SPECIALIST

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
13033 BEL RED RD
SUITE 120
BELLEVUE, WA
ZIP 98005
Phone: (425) 452-0101
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BELLEVUE INTERVENTIONAL SPINE SPECIALIST PS is an ambulatory surgical clinic center in Bellevue, WA. BELLEVUE INTERVENTIONAL SPINE SPECIALIST PS NPI is 1720111792. The provider is registered as an organization entity type.
The provider Is Doing Business As Bellevue Spine Specialist.

The provider's business location address is:

13033 BEL RED RD
SUITE 120
BELLEVUE, WA
ZIP 98005-622
Phone: (425) 452-0101

The provider's authorized official is David H. Chang .
The authorized official title is President and has the following contact phone number (425) 452-0404.

The enumeration date for this NPI number is 3/13/2007 and was last updated on 5/8/2019.

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: 11/14/2023

NPI Synchronization or Removal

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