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ADVANCE SPINE CARE AND PAIN MANAGEMENT NPI 1801118690


NPI Information

NPI: 1801118690
Provider Name: ADVANCE SPINE CARE AND PAIN MANAGEMENT
Classification: Pain Medicine - 208VP0014X
Entity Type: Organization

Specialization: Interventional Pain Medicine

Address:
2555 E COLORADO BLVD STE 306
PASADENA, CA
ZIP 91107
Phone: (626) 538-8950
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ADVANCE SPINE CARE AND PAIN MANAGEMENT is an interventional pain medicine pain medicine in Pasadena, 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. ADVANCE SPINE CARE AND PAIN MANAGEMENT NPI is 1801118690. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2555 E COLORADO BLVD STE 306
PASADENA, CA
ZIP 91107-648
Phone: (626) 538-8950
Fax: (626) 566-7620

The provider's authorized official is Kevin K Li .
The authorized official title is President and has the following contact phone number (626) 538-8950.

The enumeration date for this NPI number is 2/19/2010 and was last updated on 10/3/2021.


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
1207L00000XAnesthesiologyNo
2207LP2900XAnesthesiologyPain MedicineNo
3208VP0014XPain MedicineInterventional Pain MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11083863690MEDICAIDCALIFORNIA

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

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