# CENTER FOR INTERVENTIONAL SPINE, A MEDICAL CORPORATION

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1972843399
- **Authorized official:** MR. LAWRENCE REED CATE (ADMINISTRATOR)
- **Authorized official phone:** (916) 473-7602

## Contact information

- **Practice address:** 1970 LAKE BLVD, SUITE 1, DAVIS, CA 95616-5663
- **Practice address phone:** (916) 977-0741
- **Practice address fax:** (916) 977-0547
- **Mailing address:** 1817 PROFESSIONAL DR, SACRAMENTO, CA 95825-2106
- **Mailing address phone:** (916) 977-0741
- **Mailing address fax:** (916) 977-0547

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | A60900 | CA | Yes |

## Other

- **Enumeration date:** 02/21/2013
- **Last updated:** 02/21/2013