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SPINE INSTITUTE INC. A MEDICAL CORPORATION NPI 1538218672


NPI Information

NPI: 1538218672
Provider Name: SPINE INSTITUTE INC., A MEDICAL CORPORATION

Doing Business As: VALLEY SPINE CENTER AKA THE SPINE INSTITUTE AT MIRACLE MILE

Classification: Orthopaedic Surgery - 207XS0117X
Entity Type: Organization

Specialization: Orthopaedic Surgery of the Spine

Address:
4849 VAN NUYS BLVD
SUITE 217
SHERMAN OAKS, CA
ZIP 91403
Phone: (818) 990-4100
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SPINE INSTITUTE INC., A MEDICAL CORPORATION is an orthopaedic surgery of the spine orthopaedic surgery in Sherman Oaks, CA. The provider is recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. SPINE INSTITUTE INC., A MEDICAL CORPORATION NPI is 1538218672. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Valley Spine Center Aka The Spine Institute At Miracle Mile.

The provider's business location address is:

4849 VAN NUYS BLVD
SUITE 217
SHERMAN OAKS, CA
ZIP 91403-128
Phone: (818) 990-4100
Fax: (818) 990-4199

The provider's authorized official is Liza Logan .
The authorized official title is Chief Operating Officer and has the following contact phone number (818) 993-2542.

The enumeration date for this NPI number is 1/9/2007 and was last updated on 1/23/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207XS0117XOrthopaedic SurgeryOrthopaedic Surgery of the SpineG68053CALIFORNIAYes

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: 4/28/2024

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