OrganizationActive
Advanced Interventional Pain Center La
NPI 1174899686 · Interventional Pain Medicine Physician · Los Angeles, CA
Provider details
- NPI number
- 1174899686
- Entity type
- Organization
- Primary specialty
- Interventional Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Pattanam Srinivasan, Clinical Director
- License
- C53502 (CA)
Practice location
11645 Wilshire Blvd
Suite 852
Los Angeles, CA 90025-6808
Phone: (310) 272-9630
Mailing address
11645 Wilshire Blvd
Los Angeles, CA 90025-6808
Registry dates
- Enumerated
- 2012-03-29
- Last updated
- 2012-03-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.