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Organization
SPINE AND PAIN CARE MEDICAL ASSOCIATES INC
Active
Organization
SPINE AND PAIN CARE MEDICAL ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY OLSEN MD (OWNER)
(714) 508-9999
Entity
Organization
Contact information
Practice address
250 EL CAMINO REAL, SUITE 104, TUSTIN, CA 92780-3655
(714) 508-9999
Mailing address
250 EL CAMINO REAL, SUITE 104, TUSTIN, CA 92780-3655
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
G69571
CA
Other
Enumeration date
12/02/2010
Last updated
03/07/2023
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