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Organization
DISC SPORTS AND SPINE CENTER AT NEWPORT BEACH
Active
Organization
DISC SPORTS AND SPINE CENTER AT NEWPORT BEACH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURIE DALE (CFO)
(310) 574-0450
Entity
Organization
Contact information
Practice address
3501 JAMBOREE RD, SUIUTE 1200, NEWPORT BEACH, CA 92660-2939
(949) 988-7888
(949) 509-7907
Mailing address
13160 MINDANAO WAY, SUITE 170, MARINA DEL REY, CA 90292-6358
(310) 574-0450
(310) 574-0371
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
NULL
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
08/09/2011
Last updated
08/09/2011
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