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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SOUTHERN CALIFORNIA SPINE AND SPORT MEDICAL ASSOCIATES, INC

Active Organization

SOUTHERN CALIFORNIA SPINE AND SPORT MEDICAL ASSOCIATES, INC is a Pain Medicine (Anesthesiology) organization located in NEWPORT BEACH, California. NPI 1902800543 is currently active in the NPPES registry. Verify at CMS.

Pain Medicine (Anesthesiology) · NEWPORT BEACH, CA

Registration Details

NPI Number
1902800543
Provider Type
Organization
NPI Issued
Jun 10, 2005 (21.203256231525 yrs)
Last Updated
Apr 26, 2023
Licenses
Q34724 (CA)
PA65976 (CA)

Practice Information

Address
1401 AVOCADO AVE STE 709
NEWPORT BEACH, CA, 926608714
Browse CA providers · Browse ZIP 92660
Phone
9496445800
Fax
9499995813
Primary Specialty
Pain Medicine (Anesthesiology)
207LP2900X
Additional Specialty
Physician Assistant
Additional Specialty
Medical Physician Assistant
Additional Specialty
Medical Physician Assistant
Additional Specialty
Surgical Physician Assistant

Other Pain Medicine (Anesthesiology) Organizations in NEWPORT BEACH, CA

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.