Organization
SOUTHERN CALIFORNIA PAIN AND SPINE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AIDEN M CLARKE M.D. (OWNER)
(619) 564-7463
Entity
Organization
Contact information
Practice address
1180 N INDIAN CANYON DR, STE W200, PALM SPRINGS, CA 92262-4800
(408) 370-9080
Mailing address
1725 W MONTECITO WAY, SAN DIEGO, CA 92103-1227
(619) 564-7463
(619) 564-7463
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
G64292
CA
Other
Enumeration date
11/08/2011
Last updated
03/09/2012
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