BURBANK SPINE AND PAIN SURGERY CENTER A PROFESSIONAL MEDICAL CORP – NPI #1114473972
Clinic/Center

BURBANK SPINE AND PAIN SURGERY CENTER A PROFESSIONAL MEDICAL CORP is an AHC clinic located in BURBANK, CA. NPPES has assigned the NPI number 1114473972 to BURBANK SPINE AND PAIN SURGERY CENTER A PROFESSIONAL MEDICAL CORP on August 31, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was last updated on Sep 18, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BURBANK SPINE AND PAIN SURGERY CENTER A PROFESSIONAL MEDICAL CORP below.

NPI Profile for
BURBANK SPINE AND PAIN SURGERY CENTER A PROFESSIONAL MEDICAL CORP

NPI Number
1114473972
Enumeration Date

(about 10 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BURBANK SPINE AND PAIN SURGERY CENTER A PROFESSIONAL MEDICAL CORP
Primary location
2211 W MAGNOLIA BLVD
SUITE 270
BURBANK, CA 91506-1753
Phone: (818) 325-2088 Fax: (818) 563-6201
Mailing address
2211 W MAGNOLIA BLVD STE 270
BURBANK, CA 91506-1756
Phone: (818) 325-2088 Fax: (818) 563-6201
Organization Subpart
No
Authorized Official
KARRIE SIMONIAN
DIRECTOR OF OPERATIONS
Phone: (818) 588-4150
Updated
Certification Date
Sep 18, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)		 CA

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.