# SPINE AND PAIN CLINIC OF NORTH AMERICA, LLC

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

## Provider details

- **NPI number:** 1275985970
- **Authorized official:** FARAH ZIA (OWNER)
- **Authorized official phone:** (703) 520-1031

## Contact information

- **Practice address:** 4001 FAIR RIDGE DR, SUITE 202, FAIRFAX, VA 22033-2917
- **Practice address phone:** (301) 873-9596
- **Practice address fax:** (703) 520-7269
- **Mailing address:** 4001 FAIR RIDGE DR STE 202, FAIRFAX, VA 22033-2917
- **Mailing address phone:** (703) 520-1031
- **Mailing address fax:** (703) 520-7269

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |
| 208VP0000X | Pain Medicine Physician | 0101233975 | VA | — |

## Other

- **Enumeration date:** 07/06/2016
- **Last updated:** 08/17/2026