Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Advanced Interventional Pain Center La

Organization Interventional Pain Medicine Physician · NPI 1174899686

Advanced Interventional Pain Center La is an Interventional Pain Medicine Physician in Los Angeles, California. Licensed in California. Registered with an NPI since 2012.

Licensed in
CA
In the registry since
2012

Practice location Address checks out

11645 Wilshire Blvd Ste 852
Los Angeles, CA 90025-6808
Phone: (310) 272-9630
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Interventional Pain Medicine Physician (primary) Taxonomy 208VP0014X · Licence C53502 (CA)

Record details

NPI number1174899686
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Pattanam Srinivasan — Clinical Director · (424) 781-5414
NPI enumeratedMarch 29, 2012
Last updated in NPPESMarch 29, 2012
Mailing address11645 Wilshire Blvd, Suite 852, Los Angeles, CA 90025-6808

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