Organization · NPI-2

360 Sports, Spine And Wellness, INC.

Physical Medicine & Rehabilitation, Sports Medicine · Huntington Beach, CA

NPI number1487174991
StatusActive
Last updated in NPPESJun 26, 2017

Details

NPI
1487174991
Entity type
Organization (NPI-2)
Legal business name
360 Sports, Spine And Wellness, INC.
Organization subpart
No
Enumeration date
Jun 26, 2017
Last updated
Jun 26, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2081S0010X Physical Medicine & Rehabilitation, Sports Medicine––Yes

Practice location

18800 Delaware St Ste 150
Huntington Beach, CA 92648-6012

Phone 714-848-9319

Mailing address

18800 Delaware St Ste 150
Huntington Beach, CA 92648-6012

Phone 714-848-9319 · Fax 714-847-2310

Authorized official

Chris Marker
Physician
7148489319

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