DIAGNOSTIC AND INTERVENTIONAL SURGICAL CENTER NPI 1740337435

NPI Details

DIAGNOSTIC AND INTERVENTIONAL SURGICAL CENTER is an ambulatory surgical clinic center in Marina Del Rey, CA. DIAGNOSTIC AND INTERVENTIONAL SURGICAL CENTER NPI is 1740337435. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

13160 MINDANAO WAY
STE. 150
MARINA DEL REY, CA
ZIP 90292
Phone: (310) 424-2000

The provider's authorized official is Brianna X Padilla .
The authorized official title is Administrator / Director Of Nursing and has the following contact phone number (310) 574-0426.

The CLIA number assigned to this NPI record is 05D1052088 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level (HCPCS:64483)
• Injection of lower or sacral spine facet joint using imaging guidance, single level (HCPCS:64493)
• Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment (HCPCS:63047)
• Injection of upper or middle spine facet joint using imaging guidance, single level (HCPCS:64490)
• Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint (HCPCS:64635)
• Injection of anesthetic and/or steroid drug into upper or middle spine nerve root using imaging guidance, single level (HCPCS:64479)
• Fusion of spine in lower back (HCPCS:22612)
• Injection of substance into middle or upper spine canal using imaging guidance (HCPCS:62321)

The enumeration date for this NPI number is 1/4/2007 and was last updated on 9/2/2025.

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: