INTERVENTIONAL SPINE CENTER, LLC – NPI #1730487083
Clinic/Center

INTERVENTIONAL SPINE CENTER, LLC is an AHC clinic located in ANAHEIM, CA. NPPES has assigned the NPI number 1730487083 to INTERVENTIONAL SPINE CENTER, LLC on March 10, 2011. 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 Mar 05, 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 INTERVENTIONAL SPINE CENTER, LLC below.

NPI Profile for
INTERVENTIONAL SPINE CENTER, LLC

NPI Number
1730487083
Enumeration Date

(more than 15 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
INTERVENTIONAL SPINE CENTER, LLC
Primary location
947 S ANAHEIM BLVD STE 215
ANAHEIM, CA 92805-5582
Phone: (949) 588-7246 Fax: (562) 866-7143
Mailing address
PO BOX 5105
IRVINE, CA 92616-5105
Phone: (949) 588-7246 Fax:
Organization Subpart
No
Authorized Official
JENNIFER BALDOCK
OFFICER AND AUTHORIZED OFFICIAL
Phone: (615) 234-5954
Updated
Certification Date
Mar 05, 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)

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.