Provider Demographics
NPI:1023860574
Name:SPINE CENTER, LLC
Entity type:Organization
Organization Name:SPINE CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATION
Authorized Official - Prefix:MR
Authorized Official - First Name:NAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:PAPEHN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-642-1170
Mailing Address - Street 1:9001 SUMMA AVE STE 346
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70809-3779
Mailing Address - Country:US
Mailing Address - Phone:225-515-5700
Mailing Address - Fax:
Practice Address - Street 1:9001 SUMMA AVE STE 346
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70809-3779
Practice Address - Country:US
Practice Address - Phone:225-515-5700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-05
Last Update Date:2025-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Multi-Specialty
No207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the SpineGroup - Multi-Specialty
No261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical SpecialtyGroup - Multi-Specialty