# SPINE AND SPORTS URGENT CARE CENTER INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SPINE AND SPORTS SPECIALTIES MEDICAL GROUP
- **Other names:** Spine and Sports Urgent Care Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1750770814
- **Legal business name:** SPINE AND SPORTS SPECIALTIES MEDICAL GROUP
- **Authorized official:** MR. SCOTT LILLY (ADMINISTRATOR)
- **Authorized official phone:** (805) 701-8580

## Contact information

- **Practice address:** 1120 W. LA VETA AVENUE, SUITE 300, ORANGE, CA 92868-4233
- **Practice address phone:** (949) 280-2561
- **Mailing address:** 1120 W. LA VETA AVENUE, SUITE 300, ORANGE, CA 92868-4233

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | — | CA | Yes |

## Other

- **Enumeration date:** 01/13/2015
- **Last updated:** 01/13/2015