# COMPLETE SPINE AND JOINT CENTER INC

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

## Provider details

- **NPI number:** 1780163915
- **Authorized official:** GREGORY WARREN MIDDLETON D.C (PRESIDENT)
- **Authorized official phone:** (714) 522-2332

## Contact information

- **Practice address:** 15112 ROSECRANS AVE, LA MIRADA, CA 90638
- **Practice address phone:** (714) 522-2332
- **Practice address fax:** (714) 522-2344
- **Mailing address:** 15112 ROSECRANS AVE, LA MIRADA, CA 90638-4742
- **Mailing address phone:** (714) 522-2332
- **Mailing address fax:** (714) 522-2344

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111NR0400X | Rehabilitation Chiropractor | DC23913 | CA | — |
| 207VX0000X | Obstetrics Physician | A36925 | CA | Yes |

## Other

- **Enumeration date:** 08/08/2018
- **Last updated:** 08/08/2018
