# IE INTERVENTIONAL LLC

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

## Provider details

- **NPI number:** 1932985934
- **Authorized official:** MRS. KATRINA NAVASARTIAN (OFFICE MANAGER)
- **Authorized official phone:** (818) 383-9725

## Contact information

- **Practice address:** 6700 INDIANA AVE STE 280, RIVERSIDE, CA 92506-4265
- **Practice address phone:** (951) 276-7167
- **Practice address fax:** (951) 848-0804
- **Mailing address:** 455 OLD NEWPORT BLVD STE 100, NEWPORT BEACH, CA 92663-4254

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | — |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | — | — |
| 208VP0014X | Interventional Pain Medicine Physician | — | NULL | — |
| 208VP0014X | Interventional Pain Medicine Physician | — | — | — |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/05/2023
- **Last updated:** 10/04/2023