SPINE AND PAIN CARE MEDICAL ASSOCIATES INC NPI 1225330830

NPI Information

NPI: 1225330830
Provider Name: SPINE AND PAIN CARE MEDICAL ASSOCIATES INC
Classification: Physical Medicine & Rehabilitation - 2081P2900X
Entity Type: Organization

Specialization: Pain Medicine

Address:
250 EL CAMINO REAL
SUITE 104
TUSTIN, CA
ZIP 92780
Phone: (714) 508-9999
Get Directions

SPINE AND PAIN CARE MEDICAL ASSOCIATES INC is a pain medicine physical medicine rehabilitation in Tustin, CA. The provider is a physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. SPINE AND PAIN CARE MEDICAL ASSOCIATES INC NPI is 1225330830. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

250 EL CAMINO REAL
SUITE 104
TUSTIN, CA
ZIP 92780-655
Phone: (714) 508-9999

The provider's authorized official is Jeffrey Olsen .
The authorized official title is Owner and has the following contact phone number (714) 508-9999.

The enumeration date for this NPI number is 12/2/2010 and was last updated on 12/2/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2081P2900X	Physical Medicine & Rehabilitation	Pain Medicine	G69571	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	F76805	OTHER	CALIFORNIA	UPIN
2	BO2524204	OTHER	CALIFORNIA	DEA
3	W16704	MEDICARE UPIN	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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