Organization · Type 2 NPI
Interventional Spine Center, LLC
Ambulatory Surgical Clinic/Center · Laguna Hills, CA
NPI number
1639498579
Active
Practice location
24012 Calle De La Plata Ste 130
Laguna Hills, CA 92653-3632
Fax (866) 829-7143
Mailing address
PO Box 5105
Irvine, CA 92616-5105
Other practice locations
- 947 S Anaheim Blvd Ste 215, Anaheim, CA 92805-5582 · (949) 588-7246
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulatory Surgical Clinic/Center Primary | 261QA1903X | None listed |
Ambulatory Surgical Clinic/Center: Definition to come...
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About NPI 1639498579
Interventional Spine Center, LLC's National Provider Identifier is 1639498579, issued on May 17, 2010. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Laguna Hills, CA. The record was last updated on Nov 6, 2025.