DTLA PAIN SURGERY CENTER INC – NPI #1245876937
Clinic/Center

DTLA PAIN SURGERY CENTER INC is an AHC clinic located in LOS ANGELES, CA. NPPES has assigned the NPI number 1245876937 to DTLA PAIN SURGERY CENTER INC on November 18, 2019. 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 previously updated about 3 years ago on Oct 18, 2023. 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 DTLA PAIN SURGERY CENTER INC below.

NPI Profile for
DTLA PAIN SURGERY CENTER INC

NPI Number
1245876937
Enumeration Date

(more than 6 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
DTLA PAIN SURGERY CENTER INC
Primary location
1513 S GRAND AVE
SUITE 380
LOS ANGELES, CA 90015-3070
Phone: (949) 872-2633 Fax: (888) 885-5414
Mailing address
5 HOLLAND
SUITE 101
IRVINE, CA 92618-2568
Phone: (949) 588-2190 Fax: (949) 588-2199
Organization Subpart
No
Authorized Official
HASAN BADDAY
OWNER
Phone: (949) 872-2633
Updated
Identifiers

Identifiers for DTLA PAIN SURGERY CENTER INC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherASCCA1437700465
medicaidCA1669470068
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)

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.