# SOUTHERN CALIFORNIA SPINE & JOINT INSTITUTE, PC

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

## Provider details

- **NPI number:** 1477003085
- **Authorized official:** JONATHAN G KELLING MD (OWNER)
- **Authorized official phone:** (951) 375-7972

## Contact information

- **Practice address:** 38860 SKY CANYON DR, BUILDING A, MURRIETA, CA 92563-2540
- **Practice address phone:** (951) 375-7972
- **Practice address fax:** (877) 657-8718
- **Mailing address:** 38860 SKY CANYON DR, BUILDING A, MURRIETA, CA 92563-2540
- **Mailing address phone:** (951) 375-7972
- **Mailing address fax:** (877) 657-8718

## 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:** 10/06/2016
- **Last updated:** 02/09/2018