Innovative Pain And Spine Physicians

LBN: Innovative Pain And Spine Physicians
Innovative Pain And Spine Physicians is an health care organization with primary practice located at 4418 Vineland Ave Ste 218 , North Hollywood CA 91602-2159. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as the primary health care specialty. Innovative Pain And Spine Physicians can be contacted via phone (818) 621-0019, or through Root, Matthew S via phone (818) 621-0019.

Contact Information

Primary practice address
4418 Vineland Ave Ste 218 North Hollywood CA 91602-2159
Fax:
Website:
Authorized official contact:
Name: Root, Matthew S Doctor of Osteopathy (DO)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X California

Profile Details

NPI number 1174929376
LBN Legal business name Innovative Pain And Spine Physicians
DBA Doing business as
Authorized official Root, Matthew S Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 15th, 2014
Last updated Sep 29th, 2019 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174929376 NPPES
Other 1043593098 NPI
Other CB228966 NPI

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