Organization
IE INTERVENTIONAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATRINA NAVASARTIAN (OFFICE MANAGER)
(818) 383-9725
Entity
Organization
Contact information
Practice address
6700 INDIANA AVE STE 280, RIVERSIDE, CA 92506-4265
(951) 276-7167
(951) 848-0804
Mailing address
455 OLD NEWPORT BLVD STE 100, NEWPORT BEACH, CA 92663-4254
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
09/05/2023
Last updated
10/04/2023
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