Organization
DISC SPORTS AND SPINE CENTER AT NEWPORT BEACH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURIE DALE (CFO)
(310) 574-0450
Entity
Organization
Contact information
Practice address
3501 JAMBOREE RD, SUIUTE 1200, NEWPORT BEACH, CA 92660-2939
(949) 988-7888
(949) 509-7907
Mailing address
13160 MINDANAO WAY, SUITE 170, MARINA DEL REY, CA 90292-6358
(310) 574-0450
(310) 574-0371
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
08/09/2011
Last updated
08/09/2011
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