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Organization
NON SURGICAL SPINE CENTER
Active
Organization
NON SURGICAL SPINE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT S YOUNG M.D. (SHARE HOLDER)
(760) 546-3472
Entity
Organization
Contact information
Practice address
18055 BUSHARD ST, FOUNTAIN VALLEY, CA 92708-5760
(714) 546-3472
Mailing address
18055 BUSHARD ST, FOUNTAIN VALLEY, CA 92708-5760
(714) 546-3472
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
C31371
CA
Other
Enumeration date
08/24/2009
Last updated
12/23/2009
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