# INTEGRATIVE SPORTS AND SPINE INC

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

## Provider details

- **NPI number:** 1245630557
- **Authorized official:** HENRY LEE (PRESIDENT)
- **Authorized official phone:** (833) 473-7377

## Contact information

- **Practice address:** 9080 IRVINE CENTER DR, IRVINE, CA 92618-4658
- **Practice address phone:** (949) 540-5641
- **Practice address fax:** (949) 540-5642
- **Mailing address:** 9080 IRVINE CENTER DR, IRVINE, CA 92618-4658
- **Mailing address phone:** (949) 540-5641
- **Mailing address fax:** (949) 540-5642

## Taxonomy

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

## Other

- **Enumeration date:** 08/25/2014
- **Last updated:** 07/11/2024