Netwave Neurodiagnostics and Pain Management

Primary specialty

Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X

Legal business name

NETWAVE NEURODIAGNOSTICS AND PAIN MANAGEMENT

Practice address

14507 Hawthorne Blvd
Lawndale, CA 90260-1520

Phone

(310) 856-2685

NPI assigned

Jun 7, 2007

Last updated

Aug 22, 2020By 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

Dr. Michael Allen Coburn, M.D.NPI 1396955456

Title

Owner

Phone

(310) 856-2685

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Michael Allen Coburn, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Lawndale, CA
  • NPI 1396955456
  Authorized official Same address or phone

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902009988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14507 HAWTHORNE BLVD",
            "city": "LAWNDALE",
            "state": "CA",
            "postal_code": "902601520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14507 HAWTHORNE BLVD",
            "city": "LAWNDALE",
            "state": "CA",
            "postal_code": "902601520",
            "telephone_number": "310-856-2685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NETWAVE NEURODIAGNOSTICS AND PAIN MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COBURN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-856-2685",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Nasserazari, LAC
• Rory Kealoha Natividad, ATC
• Nativity Medical Inc
• Natural Health Medical Center Inc
• Keyla Navarre, M.S., CCC-SLP
• New Age Medical
• Nexstep Fitness, Inc.
• Next Move Mental Health Agency, Inc.
• Ashley Lynn Nitzel, ATC
• Maria I Nzenwa, ATOD COUNSELOR

• Occupational Medicine Clinic/Center in Lawndale, CA
• Providers in Lawndale, CA by specialty
• Occupational Medicine Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.