# ADVANCED INTERVENTIONAL PAIN AND WELLNESS CENTER INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053568030
- **Authorized official:** DR. LARRY GILBERT DING M.D (MEDICAL DIRECTOR)
- **Authorized official phone:** (949) 444-1886

## Contact information

- **Practice address:** 6700 INDIANA AVE, SUITE 145, RIVERSIDE, CA 92506-4290
- **Practice address phone:** (951) 248-9240
- **Practice address fax:** (951) 248-9263
- **Mailing address:** 218 AVENIDA LA CUESTA, SAN CLEMENTE, CA 92672-2139
- **Mailing address phone:** (949) 444-1885
- **Mailing address fax:** (888) 873-6807

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | — | — |
| 261QM2500X | Medical Specialty Clinic/Center | A66008 | CA | Yes |

## Other

- **Enumeration date:** 08/21/2008
- **Last updated:** 04/13/2017