# AMERICAN SPINE PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** AMERICAN SPINE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821426305
- **Authorized official:** KHURAM AKBAR SIAL MD (PRESIDENT/ OWNER)
- **Authorized official phone:** (310) 792-3914

## Contact information

- **Practice address:** 1810 FULLERTON AVE, SUITE \#104, CORONA, CA 92881-3103
- **Practice address phone:** (951) 279-0100
- **Practice address fax:** (951) 734-7245
- **Mailing address:** PO BOX 3098, TORRANCE, CA 90510-3098
- **Mailing address phone:** (310) 792-3914
- **Mailing address fax:** (855) 898-4055

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | A90421 | CA | Yes |
| 208VP0000X | Pain Medicine Physician | A90421 | CA | — |

## Other

- **Enumeration date:** 10/21/2013
- **Last updated:** 06/03/2015