# ST CHARLES SPINE INSTITUTE

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

## Provider details

- **NPI number:** 1306762273
- **Authorized official:** MONICA FANDINO (BILLING MANAGER)
- **Authorized official phone:** (805) 379-2322

## Contact information

- **Practice address:** 1001 NEWBURY RD, THOUSAND OAKS, CA 91320-6434
- **Practice address phone:** (805) 379-2322
- **Mailing address:** 1001 NEWBURY RD, THOUSAND OAKS, CA 91320-6434
- **Mailing address phone:** (805) 379-2322

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | — |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | — | — |

## Other

- **Enumeration date:** 06/25/2026
- **Last updated:** 06/25/2026