# SPINE AND PAIN CARE MEDICAL ASSOCIATES INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225330830
- **Authorized official:** JEFFREY OLSEN MD (OWNER)
- **Authorized official phone:** (714) 508-9999

## Contact information

- **Practice address:** 250 EL CAMINO REAL, SUITE 104, TUSTIN, CA 92780-3655
- **Practice address phone:** (714) 508-9999
- **Mailing address:** 250 EL CAMINO REAL, SUITE 104, TUSTIN, CA 92780-3655

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | G69571 | CA | Yes |

## Other

- **Enumeration date:** 12/02/2010
- **Last updated:** 03/07/2023