Organization
ST CHARLES SPINE INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONICA FANDINO (BILLING MANAGER)
(805) 379-2322
Entity
Organization
Contact information
Practice address
1001 NEWBURY RD, THOUSAND OAKS, CA 91320-6434
(805) 379-2322
Mailing address
1001 NEWBURY RD, THOUSAND OAKS, CA 91320-6434
(805) 379-2322
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
Other
Enumeration date
06/25/2026
Last updated
06/25/2026
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