WEST LA SPINE ASC LLC NPI 1629623376

NPI Information

NPI: 1629623376
Provider Name: WEST LA SPINE ASC LLC
Classification: Clinic/Center - 261QA1903X
Specialization: Ambulatory Surgical
Entity Type: Organization
Address: 1964 WESTWOOD BLVD STE 436
LOS ANGELES, CA
ZIP 90025
Phone: (310) 856-9488

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NPI Details

WEST LA SPINE ASC LLC is an ambulatory surgical clinic center in Los Angeles, CA. WEST LA SPINE ASC LLC NPI is 1629623376. The provider is registered as an organization entity type.

The provider's business location address is:

1964 WESTWOOD BLVD STE 436
LOS ANGELES, CA
ZIP 90025-695
Phone: (310) 856-9488

The provider's authorized official is Nadiv Samimi .
The authorized official title is Administrator and has the following contact phone number (310) 856-9488.

The enumeration date for this NPI number is 8/8/2019 and was last updated on 8/8/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	06141977	OTHER	CALIFORNIA	PPO INSURANCE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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