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SOUTHERN CALIFORNIA SPINE & JOINT INSTITUTE PC NPI 1477003085


NPI Information

NPI: 1477003085
Provider Name: SOUTHERN CALIFORNIA SPINE & JOINT INSTITUTE, PC
Classification: Physical Medicine & Rehabilitation - 2081P2900X
Entity Type: Organization

Specialization: Pain Medicine

CLIA Number: 05D2184299

Address:
38860 SKY CANYON DR
BUILDING A
MURRIETA, CA
ZIP 92563
Phone: (951) 375-7972
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SOUTHERN CALIFORNIA SPINE & JOINT INSTITUTE, PC is a pain medicine physical medicine rehabilitation in Murrieta, 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. SOUTHERN CALIFORNIA SPINE & JOINT INSTITUTE, PC NPI is 1477003085. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

38860 SKY CANYON DR
BUILDING A
MURRIETA, CA
ZIP 92563-540
Phone: (951) 375-7972
Fax: (877) 657-8718

The provider's authorized official is Jonathan G Kelling .
The authorized official title is Owner and has the following contact phone number (951) 375-7972.

The CLIA number assigned to this NPI record is 05D2184299 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/6/2016 and was last updated on 2/9/2018.


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
12081P2900XPhysical Medicine & RehabilitationPain MedicineYes

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: 5/5/2024

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