ADVANCED INTERVENTIONAL PAIN CENTER LA (NPI# 1174899686) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174899686 |
| Entity Type | Organization |
| Organization Name | ADVANCED INTERVENTIONAL PAIN CENTER LA |
| Practice Address |
11645 Wilshire Blvd Suite 852 Los Angeles CA 90025-6808 |
| Practice Telephone | 3102729630 |
| Mailing Telephone | 3102729630 |
| Enumeration Date | 2012-03-29 |
| Last Update Date | 2012-03-29 |
| Authorized Official Name | DR. PATTANAM SRINIVASAN (CLINICAL DIRECTOR) |
| Authorized Official Telephone | 4247815414 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
C53502 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
11645 WILSHIRE BLVD SUITE 852 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90025-6808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063475986 | Scott Ritchey Sale | Specialist | 11645 Wilshire Blvd, Suite 1090, Los Angeles, CA 90025-1708 | 2006-04-11 |
| 1801244108 | Nicole Karman Gilbert | Psychologist | 11645 Wilshire Blvd, Suite 1065, Los Angeles, CA 90025-1708 | 2016-05-26 |
| 1972988491 | Eric J. Meinhardt, M.d., A Professional Corporation | Dermatology | 11645 Wilshire Blvd, 1080, Los Angeles, CA 90025-1708 | 2015-07-26 |
| 1821482258 | Taraneh F. Noorvash Dds Inc | Clinic/Center | 11645 Wilshire Blvd, Suite 1060, Los Angeles, CA 90025-1708 | 2015-03-24 |
| 1245638253 | Maurice Firouz, D.d.s., Inc. | Clinic/Center | 11645 Wilshire Blvd, 1060, Los Angeles, CA 90025-1708 | 2014-12-08 |
| 1619374238 | Maurice K Masliah | Dentist | 11645 Wilshire Blvd, Ste 1158, Los Angeles, CA 90025-1708 | 2014-11-25 |
| 1720322415 | Brentwood Medical Group A Professional Medical Corp | Internal Medicine | 11645 Wilshire Blvd, Suite 745, Los Angeles, CA 90025-1708 | 2012-11-19 |
| 1023360039 | Med-x Drug & Alcohol Testing Services | Legal Medicine | 11645 Wilshire Blvd, Suite 825, Los Angeles, CA 90025-1708 | 2012-10-15 |
| 1912211426 | Manuel Anthony Bustamante | Dentist | 11645 Wilshire Blvd, Suite 1160, Los Angeles, CA 90025-6811 | 2010-07-27 |
| 1033436654 | Eric Joel Meinhardt | Dermatology | 11645 Wilshire Blvd, Suite 1080, Los Angeles, CA 90025-1708 | 2010-04-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962324 | Marjan-marcia Khalitchi-alavi | Psychologist | 12400 Wilshire Blvd #230, Los Angeles, CA 90025 | 2020-11-06 |
| 1245852599 | Maureen Bridget Mcglynn | Marriage & Family Therapist | 1531 Purdue Avenue, Los Angeles, CA 90025 | 2020-05-09 |
| 1578118857 | Gregory J Bogie | Physical Therapist | 10351 Santa Monica Blvd. Suite 101, Los Angeles, CA 90025 | 2019-08-05 |
| 1518527712 | David Allen Goldstein | Marriage & Family Therapist | 12301 Wilshire Blvd., Suite 515, Los Angeles, CA 90025 | 2019-06-19 |
| 1386104875 | Kevin Meir Youssefzadeh | Student in an Organized Health Care Education/Training Program | 304 Dowlen Dr, Los Angeles, CA 90025 | 2019-03-21 |
| 1336609189 | Psychotherapy Center for Healing and Personal Growth | Psychologist | 2001 S. Barington Ave Suite 222, Los Angeles, CA 90025 | 2019-03-20 |
| 1477028819 | Flora Ma | Nurse Practitioner | 1726 Purdue Ave, Apt 2, Los Angeles, CA 90025 | 2018-10-12 |
| 1457834285 | Yeesul Yoo | Chiropractor | 2001 S. Barrington Ave Suite 101, Los Angeles, CA 90025 | 2018-09-07 |
| 1902387160 | Angelica Carmen Regalado | Behavior Technician | 7400 Pacific Blvd. Suite A & B, Walnut Park, CA 90025 | 2018-08-26 |
| 1033603378 | Craig Allen Gillett | Marriage & Family Therapist | 11847 Wilshire Blvd., #300, Los Angeles, CA 90025 | 2018-06-20 |
| Find all providers in zip 90025 | ||||
| Taxonomy Code | 208VP0014X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Interventional Pain Medicine |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912225673 | Eugene Kim | Pain Medicine | 4650 Sunset Blvd, Ms #3, Children's Hospial Los Angeles, Dept of Anesthesia, Los Angeles, CA 90027 | 2010-05-05 |
| 1801992102 | Lonnie Kaye Zeltzer | Pain Medicine | 200 Med Plaza Suite 265, Los Angeles, CA 90095 | 2006-09-15 |
| 1770585606 | Rebecca Kerr | Pain Medicine | 8610 S Sepulveda Blvd, Suite 207, Los Angeles, CA 90045-4012 | 2005-08-11 |
| 1033119250 | Jason A Berkley | Pain Medicine | 444 S San Vicente Blvd, 800, Los Angeles, CA 90048-4165 | 2005-07-29 |
| 1245888775 | La Pain and Performance | Pain Medicine | 6363 Wilshire Blvd Ste 516, Los Angeles, CA 90048-5726 | 2019-08-28 |
| 1538596457 | Aju Medical and Wellness Center A Professional Corp | Pain Medicine | 2560 W Olympic Blvd, Suite 205, Los Angeles, CA 90006-2998 | 2013-10-09 |
| 1972937001 | Beverly Hills Spine and Pain Inc | Pain Medicine | 444 S San Vicente Blvd, Suite #800, Los Angeles, CA 90048-4165 | 2013-08-26 |
| 1033436464 | San Cristobal Medical Group, Inc | Pain Medicine | 1127 Wilshire Blvd, Ste 820, Los Angeles, CA 90017-3901 | 2010-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538795836 | John Qian M.d. Inc. | Pain Medicine | 5360 Jackson Dr Ste 100, La Mesa, CA 91942-3012 | 2020-03-18 |
| 1831751403 | Abigail Howe | Pain Medicine | 2421 Park Blvd # B205, Palo Alto, CA 94306-1998 | 2019-07-03 |
| 1144781519 | Central Coast Functional Restoration Program Inc | Pain Medicine | 1260 41st Ave Ste D, Capitola, CA 95010-3929 | 2019-03-28 |
| 1497226419 | Birladeanu Medical Corp | Pain Medicine | 5255 Elkhorn Blvd Ste A, Sacramento, CA 95842-2506 | 2018-12-17 |
| 1033649413 | Latora Subani | Pain Medicine | 16179 Siskiyou Rd, Apple Valley, CA 92307-1314 | 2017-06-18 |
| 1982061354 | Hilary J Fausett, M.d. A Medical Corporation | Pain Medicine | 39 Congress St Ste 303, Pasadena, CA 91105-3022 | 2016-01-15 |
| 1346616695 | Nuvation Pain Group | Pain Medicine | 5832 Beach Blvd Unit 208, Buena Park, CA 90621-5501 | 2015-08-20 |
| 1740674050 | Guardian Headache and Pain Management Institute LLC | Pain Medicine | 3747 Franklin Ave, Suite 200, Long Beach, CA 90808-1334 | 2015-03-25 |
| 1659764397 | Integrated Pain Treatment Center | Pain Medicine | 4312 Feather River Drive, Suite C, Stockton, CA 95219 | 2015-03-05 |
| 1659772606 | Sonny Rubin, M.d. Inc | Pain Medicine | 455 Old Newport Blvd, Suite 101, Newport Beach, CA 92663-4241 | 2014-09-09 |
| Find all providers with the same taxonomy | ||||
| City | LOS ANGELES |
| Zip Code | 90025 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.