Pacific Coast Spine Institute And Pain Center

LBN: Maryam Rahbar, Md, Inc.
Pacific Coast Spine Institute And Pain Center is an health care organization with primary practice located at 17822 Beach Blvd Ste 101 , Huntington Beach CA 92647-7179. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Ambulatory Surgical, Ambulatory Health Care Facilities / Pain. Ambulatory Health Care Facilities / Ambulatory Surgical is the primary health care specialty. Maryam Rahbar, Md, Inc. can be contacted via phone (714) 847-3666, or through Rahbar, Maryam via phone (714) 847-3666.

Contact Information

Primary practice address
17822 Beach Blvd Ste 101 Huntington Beach CA 92647-7179
Fax: (714) 847-7171
Website:
Authorized official contact:
Name: Rahbar, Maryam

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X AAAHC 77516 California
Ambulatory Health Care Facilities / Pain 261QP3300X A2677838 California

Profile Details

NPI number 1245393602
LBN Legal business name Maryam Rahbar, Md, Inc.
DBA Doing business as Pacific Coast Spine Institute And Pain Center
Authorized official Rahbar, Maryam
Entity Organization
Organization subpart 1 No
Enumeration date Dec 18th, 2006
Last updated Oct 16th, 2023 - about last year

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 1245393602 NPPES
California Other 05D1073514 CLIA
California Other A267838 CLIA
California Other 77516 CLIA
California Other FNP36985 CLIA

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