# SPINE AND PAIN INSTITUTE OF ORANGE COUNTY, INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1609145127
- **Authorized official:** DR. JERRY S CHUANG M.D. (PRESIDENT)
- **Authorized official phone:** (949) 340-9622

## Contact information

- **Practice address:** 113 WATERWORKS WAY, SUITE 240, IRVINE, CA 92618-3167
- **Practice address phone:** (949) 340-9622
- **Practice address fax:** (949) 528-3969
- **Mailing address:** PO BOX 5099, ORANGE, CA 92863-5099
- **Mailing address phone:** (714) 571-5000
- **Mailing address fax:** (714) 571-5055

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | — |
| 207L00000X | Anesthesiology Physician | — | — | — |
| 207T00000X | Neurological Surgery Physician | G87832 | CA | — |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |
| 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