Organization
SPINE AND PAIN CARE MEDICAL ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY OLSEN MD (OWNER)
(714) 508-9999
Entity
Organization
Contact information
Practice address
250 EL CAMINO REAL, SUITE 104, TUSTIN, CA 92780-3655
(714) 508-9999
Mailing address
250 EL CAMINO REAL, SUITE 104, TUSTIN, CA 92780-3655
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
G69571
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F76805
UPIN
CA
Enumeration date
12/02/2010
Last updated
03/07/2023
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