Organization
INTERVENTIONAL SPINE CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER BALDOCK (OFFICER AND AUTHORIZED OFFICIAL)
(615) 234-5954
Entity
Organization
Contact information
Practice address
947 S ANAHEIM BLVD STE 215, ANAHEIM, CA 92805-5582
(949) 588-7246
(562) 866-7143
Mailing address
PO BOX 5105, IRVINE, CA 92616-5105
(949) 588-7246
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
03/10/2011
Last updated
03/05/2025
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