Advanced Interventional Pain and Wellness Center Inc

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

A66008 Issued in CA

Legal business name

ADVANCED INTERVENTIONAL PAIN AND WELLNESS CENTER INC

Practice address

6700 Indiana Ave
Suite 145
Riverside, CA 92506-4290

Phone

(951) 248-9240

Fax

(951) 248-9263

NPI assigned

Aug 21, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Larry Gilbert Ding, M.D

Title

Medical Director

Phone

(949) 444-1886

Specialties & licenses 2

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1219276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492041600000",
    "number": "1053568030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 AVENIDA LA CUESTA",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926722139",
            "telephone_number": "949-444-1885",
            "fax_number": "888-873-6807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6700 INDIANA AVE",
            "address_2": "SUITE 145",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925064290",
            "telephone_number": "951-248-9240",
            "fax_number": "951-248-9263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED INTERVENTIONAL PAIN AND WELLNESS CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-21",
        "last_updated": "2017-04-13",
        "status": "A",
        "authorized_official_last_name": "DING",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "GILBERT",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "949-444-1886",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CA",
            "license": "A66008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Medical Specialty Clinic/Center in Riverside, CA
• Providers in Riverside, CA by specialty
• Medical Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.