Spine And Pain Regenerative Medicine

LBN: Spine And Sports Regenerative Medicine Institute
Spine And Pain Regenerative Medicine is an health care organization with primary practice located at 10721 Main St Ste 304 , Fairfax VA 22030-6902. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is the primary health care specialty. Spine And Sports Regenerative Medicine Institute can be contacted via phone (703) 349-4205, or through Kim, David via phone (703) 349-4205.

Contact Information

Primary practice address
10721 Main St Ste 304 Fairfax VA 22030-6902
Phone: (703) 349-4205
Fax: (703) 349-4205
Website:
Map and Directions
Authorized official contact:
Name: Kim, David Doctor of Medicine (MD)
Phone: (703) 349-4205

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X

Profile Details

NPI number 1114764107
LBN Legal business name Spine And Sports Regenerative Medicine Institute
DBA Doing business as Spine And Pain Regenerative Medicine
Authorized official Kim, David Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 9th, 2024
Last updated Jul 16th, 2024 - about 5 months 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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