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05D1091262 CLIA NUMBER - SPINE CARE & ORTHOPEDIC PHYSICIANS

Laboratory Demographics

CLIA Number: 05D1091262

Facility Name: SPINE CARE & ORTHOPEDIC PHYSICIANS

Facility Address:
8610 S SEPULVEDA BLVD #101
LOS ANGELES, CA
ZIP 90045
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Facility Phone Number: 310 337-3700

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1609916923

Taxonomy: 207X00000X - Orthopaedic Surgery
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

CLIA Record

Field Name Field Value
CLIA Number 05D1091262
LAB Type Physician Office
Facility Name SPINE CARE & ORTHOPEDIC PHYSICIANS
Street 8610 S SEPULVEDA BLVD #101
City LOS ANGELES
State CA
ZIP 90045
Phone 310 337-3700
CertificateType 4
CertificateEffectiveDate 10/28/2022
CertificateExpirationDate 10/27/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024