# UNIVERSITY SPINE AND ORTHOPEDICS

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

## Provider details

- **NPI number:** 1568759082
- **Authorized official:** DR. VANCE JOHNSON M.D. (CEO)
- **Authorized official phone:** (909) 433-3200

## Contact information

- **Practice address:** 900 E WASHINGTON ST, SUITE 100, COLTON, CA 92324-7111
- **Practice address phone:** (909) 433-3200
- **Mailing address:** 900 E WASHINGTON ST, SUITE 100, COLTON, CA 92324-7111

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/05/2011
- **Last updated:** 07/05/2011