JESUS H. LAO MD INC NPI 1679031611

NPI Information

NPI: 1679031611
Provider Name: JESUS H. LAO MD INC

Doing Business As: SPECTRUM PAIN AND SPINE CENTER

Classification: Clinic/Center - 261QP3300X
Entity Type: Organization

Specialization: Pain

Address:
6699 ALVARADO RD STE 2304
SAN DIEGO, CA
ZIP 92120
Phone: (619) 255-8800
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JESUS H. LAO MD INC is a pain clinic center in San Diego, CA. JESUS H. LAO MD INC NPI is 1679031611. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Spectrum Pain And Spine Center.

The provider's business location address is:

6699 ALVARADO RD STE 2304
SAN DIEGO, CA
ZIP 92120-241
Phone: (619) 255-8800
Fax: (619) 566-3827

The provider's authorized official is Jesus Lao .
The authorized official title is Medical Director and has the following contact phone number (619) 255-8800.

The CLIA number assigned to this NPI record is 05D2210409 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/8/2019 and was last updated on 10/7/2020.

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			No
2	261QP3300X	Clinic/Center	Pain			Yes

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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