San Diego Spine & Pain Center, LLC
NPI #1972955128 in Poway, California
Provider Information
- NPI Number
- 1972955128
- Entity Type
- Organization
- Organization Name
- San Diego Spine & Pain Center, LLC
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- Jul 11, 2016
- Last Updated
- Jul 11, 2016
Practice Location
- Address
- 13029 POMERADO RD
- Address 2
- SUITE C
- City
- Poway
- State
- California
- ZIP Code
- 92064-4246
- Phone
- (858) 312-5016
Authorized Official
- Name
- LANETTE V. BUMGARDNER
- Title
- OWNER/CEO
- Phone
- (310) 594-5640
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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