Provider Demographics
NPI:1427735612
Name:PACIFIC INTERVENTIONAL NEUROSCIENCES
Entity type:Organization
Organization Name:PACIFIC INTERVENTIONAL NEUROSCIENCES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:PETER
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:SUNENSHINE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:530-999-2533
Mailing Address - Street 1:2420 SONOMA STREET
Mailing Address - Street 2:
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96001-3033
Mailing Address - Country:US
Mailing Address - Phone:530-999-2533
Mailing Address - Fax:530-999-2532
Practice Address - Street 1:2420 SONOMA STREET
Practice Address - Street 2:
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96001-3033
Practice Address - Country:US
Practice Address - Phone:530-999-2533
Practice Address - Fax:530-999-2532
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-29
Last Update Date:2024-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Single Specialty
No2085N0700XAllopathic & Osteopathic PhysiciansRadiologyNeuroradiologyGroup - Multi-Specialty