05D2184299 CLIA NUMBER - SOUTHERN CALIFORNIA SPINE & JOINT INSTITUTE PC

Laboratory Demographics

CLIA Number: 05D2184299

Facility Name: SOUTHERN CALIFORNIA SPINE & JOINT INSTITUTE PC

Facility Address:
38860 SKY CANYON, BUILDING A
MURRIETA, CA
ZIP 92563
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Facility Phone Number: 951 375-7972

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1477003085

Taxonomy: 2081P2900X - Physical Medicine & Rehabilitation
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.

CLIA Record

Field Name	Field Value
CLIA Number	05D2184299
LAB Type	Physician Office
Facility Name	SOUTHERN CALIFORNIA SPINE & JOINT INSTITUTE PC
Street	38860 SKY CANYON, BUILDING A
City	MURRIETA
State	CA
ZIP	92563
Phone	951 375-7972
CertificateType	4
CertificateEffectiveDate	5/18/2022
CertificateExpirationDate	5/17/2024
FacilityType	Waiver

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