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Organization
SPINE AND PAIN INSTITUTE OF ORANGE COUNTY, INC.
Active
Organization
SPINE AND PAIN INSTITUTE OF ORANGE COUNTY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERRY S CHUANG M.D. (PRESIDENT)
(949) 340-9622
Entity
Organization
Contact information
Practice address
113 WATERWORKS WAY, SUITE 240, IRVINE, CA 92618-3167
(949) 340-9622
(949) 528-3969
Mailing address
PO BOX 5099, ORANGE, CA 92863-5099
(714) 571-5000
(714) 571-5055
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
NULL
207L00000X
Anesthesiology Physician
—
—
207T00000X
Neurological Surgery Physician
G87832
CA
207X00000X
Orthopaedic Surgery Physician
Primary
—
NULL
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
NULL
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
—
—
208VP0000X
Pain Medicine Physician
—
NULL
208VP0000X
Pain Medicine Physician
—
—
Other
Enumeration date
12/29/2011
Last updated
04/04/2012
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