Pacific Brain & Spine Med Grp INC
NPI #1023075678 in Castro Valley, California
Provider Information
- NPI Number
- 1023075678
- Entity Type
- Organization
- Organization Name
- Pacific Brain & Spine Med Grp INC
- Primary Specialty
- Neurological Surgery
- Enumeration Date
- Apr 27, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 20055 LAKE CHABOT RD
- Address 2
- # 110
- City
- Castro Valley
- State
- California
- ZIP Code
- 94546
- Phone
- (510) 886-3138
Authorized Official
- Name
- DR. JEFFREY BLAINE RANDALL, MD
- Title
- PRESIDENT
- Phone
- (510) 886-3138
Specialties & Taxonomy Codes
| Specialty |
|---|
| Neurological Surgery |
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