Dtla Pain Surgery Center Inc

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

DTLA PAIN SURGERY CENTER INC

Practice address

1513 S Grand Ave
Suite 380
Los Angeles, CA 90015-3070

Phone

(949) 872-2633

Fax

(888) 885-5414

NPI assigned

Nov 18, 2019

Organization subpart

No

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

Authorized official

Name

Hasan Badday

Title

Owner

Phone

(949) 872-2633

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Pejman Eli Shirazy, M.D.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Encino, CA
  • NPI 1669470068
  NPD

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

{
    "created_epoch": "1574035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697587200000",
    "number": "1245876937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 HOLLAND",
            "address_2": "SUITE 101",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926182568",
            "telephone_number": "949-588-2190",
            "fax_number": "949-588-2199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1513 S GRAND AVE",
            "address_2": "SUITE 380",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900153070",
            "telephone_number": "949-872-2633",
            "fax_number": "888-885-5414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DTLA PAIN SURGERY CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-18",
        "last_updated": "2023-10-18",
        "status": "A",
        "authorized_official_last_name": "BADDAY",
        "authorized_official_first_name": "HASAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-872-2633"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1669470068",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASC",
            "identifier": "1437700465",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daisy Dsul
• Dtla Dental & Implant, a Prof. Dental Office Corp.
• Dtla Gynecology
• Dtla Home Health Agency
• Dtla Med
• Dtla RX Pharmacy Apc
• Dtla Urgent Care Incorporated
• Ashley Du
• Austin Liu Du
• Janet L Du

• Ambulatory Surgical Clinic/Center in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; 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.