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
Phone: (714) 847-3666
Fax: (714) 847-7171
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
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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