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Contact Information

CALIFORNIA SPINE CENTER A PROFESSIONAL MEDICAL CORPORATION
2123 YGNACIO VALLEY ROAD
BUILDING K, SUITE 200
WALNUT CREEK, CA94598
 Phone: 925-926-0195
 Fax: 925-926-0194
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

2081P2900X 25 Physician/Physical Medicine and Rehabilitation
 

Physical Medicine & Rehabilitation

208100000X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for CALIFORNIA SPINE CENTER A PROFESSIONAL MEDICAL CORPORATION · (Female)

NPI Number 1114149341
Status Active
Credentials
Entity Individual
Enumeration date 05/03/2007
Last updated 10/05/2015 - About 11 years ago
Sole proprietor 1 Not specified
Identifiers
  • CA License # A85014
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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