Southern California Spine And Pain Institute
in Westminster, CA. Organization (NPI-2).
NPI number1659635696
StatusActive
Last updated in NPPESJun 25, 2012
Details
- NPI
- 1659635696
- Entity type
- Organization (NPI-2)
- Legal business name
- Southern California Spine And Pain Institute
- Organization subpart
- No
- Enumeration date
- Jun 25, 2012
- Last updated
- Jun 25, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208VP0000X | – | – | Yes | |
| 207LP2900X | Anesthesiology, Pain Medicine | – | – |
Practice location
9433 Bolsa Ave#b
Westminster, CA 92683-5964
Phone 714-234-5826
Mailing address
9433 Bolsa Ave#b
Westminster, CA 92683-5964
Authorized official
Thuong Vo
Owner
7142345826
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