La Spine Intervention

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

LA SPINE INTERVENTION

Practice address

2811 Wilshire Blvd
Suite 850
Santa Monica, CA 90403-4803

Phone

(310) 828-7757

Fax

(310) 594-8924

NPI assigned

Oct 24, 2014

Last updated

Oct 17, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Evish Kamrava, MDNPI 1861629685

Title

President

Phone

(310) 828-7757

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Evish Kamrava, MD

  • Physical Medicine & Rehabilitation Physician
  • Westlake Village, CA
  • NPI 1861629685
  Authorized official Same address or phone
• Hyun Woo Bae, M.D.

  • Orthopaedic Surgery of the Spine Physician
  • Santa Monica, CA
  • NPI 1528006731
  NPD (past)

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

{
    "created_epoch": "1414108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665964800000",
    "number": "1518362144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3129",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905103129",
            "telephone_number": "310-792-3914",
            "fax_number": "855-898-4055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2811 WILSHIRE BLVD",
            "address_2": "SUITE 850",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904034803",
            "telephone_number": "310-828-7757",
            "fax_number": "310-594-8924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA SPINE INTERVENTION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-24",
        "last_updated": "2022-10-17",
        "certification_date": "2022-10-17",
        "status": "A",
        "authorized_official_last_name": "KAMRAVA",
        "authorized_official_first_name": "EVISH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-828-7757",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen K Kwan, DDS
• Gi Ryoung Kwon, DPM
• Hyoungtae Edward Kwon, M.D.
• Kzahedi,DDS (KZahedi A Dental Corp)
• L Joel Kessler M D a Medical Corporation
• Anna Charlotta La Via, M.D.
• Mike Quoc Chau La, M.D.
• Julia Anne Labarbera, NP
• Elizabeth W Labolt, LMFT
• George Edward Labrot, MD

• Physical Medicine & Rehabilitation Physician in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Physical Medicine & Rehabilitation Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2022; 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.