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Organization
PACIFICASPINE,PC
Active
Organization
PACIFICASPINE,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK JOHN SIMONSON MD (MEDICAL DIRECTOR)
(805) 585-0231
Entity
Organization
Contact information
Practice address
1752 S VICTORIA AVE STE 220, SUITE # 220, VENTURA, CA 93003-6151
(805) 585-0231
(805) 482-7940
Mailing address
1752 S VICTORIA AVE STE 220, SUITE # 220, VENTURA, CA 93003-6151
(805) 585-0231
(805) 482-7940
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
NULL
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
208VP0014X
Interventional Pain Medicine Physician
—
NULL
208VP0014X
Interventional Pain Medicine Physician
—
—
Other
Enumeration date
09/02/2006
Last updated
04/21/2014
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