La Jolla Spine Institute Medical Group, Inc. in San Diego - Orthopaedic Surgery Of The Spine

La Jolla Spine Institute Medical Group, Inc. - NPI 1073677811

La Jolla Spine Institute Medical Group, Inc. is a Orthopaedic Surgery Of The Spine in San Diego, California. La Jolla Spine Institute Medical Group, Inc. practices all healthcare services and medical treatments related to Orthopaedic Surgery Of The Spine. The NPI Number for La Jolla Spine Institute Medical Group, Inc. is 1073677811. The last update date is 2023-02-09.

La Jolla Spine Institute Medical Group, Inc.'s current location address is 6719 Alvarado Road, San Diego, California. You can contact this provider via phone number 6192657912 and fax number 6192657922. The mailing address for La Jolla Spine Institute Medical Group, Inc. is 6719 Alvarado Road, San Diego, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization La Jolla Spine Institute Medical Group, Inc.
Address 6719 Alvarado Road, San Diego, California
Phone Number 6192657912
Fax Number 6192657922
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Raiszadeh Ramin
Credentials MD
Telephone Number 6192657912

NPI Number Detail

NPI Number 1073677811
Provider Enumeration Date 2006-12-19
Last Updated Date 2023-02-09

Provider Mailing Address Detail

Address 6719 Alvarado Road
City San Diego
State California (CA)
Post Code 92120
Phone Number 6192657912
Fax Number 6192657922

Provider's Primary Taxonomy Detail

Speciality Orthopaedic Surgery Of The Spine
Taxonomy 207Xs0117X
Definition:
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 disorde

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
A88341 CA LICENSE NUMBER
A111653 CA MEDICAL BOARD OF CA

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FAQs about La Jolla Spine Institute Medical Group, Inc.

What is the unique identifier code issued to La Jolla Spine Institute Medical Group, Inc. by the Centers for Medicare & Medicaid Services (CMS)?

The La Jolla Spine Institute Medical Group, Inc. has been assigned the NPI (National Provider Identifier) 1073677811. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you kindly provide the complete physical address where La Jolla Spine Institute Medical Group, Inc.'s facilities are geographically located?

The facilities of La Jolla Spine Institute Medical Group, Inc. are physically situated at the following location: 6719 Alvarado Road, San Diego, CA, 92120.

What is La Jolla Spine Institute Medical Group, Inc.'s primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for La Jolla Spine Institute Medical Group, Inc. is Orthopaedic Surgery Of The Spine, and the taxonomy classification code that categorizes this area of expertise is 207Xs0117X.

On what date did La Jolla Spine Institute Medical Group, Inc. receive its 1073677811 assignment from the Centers for Medicare & Medicaid Services?

The La Jolla Spine Institute Medical Group, Inc. was assigned its 1073677811 on 2006-12-19, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information related to La Jolla Spine Institute Medical Group, Inc. most recently updated or refreshed?

The details pertaining to the La Jolla Spine Institute Medical Group, Inc., including its address, specialty, and other relevant information, were last updated or refreshed on 2023-02-09.

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