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Organization

HAIDER SPINE CENTER

Active
Parent organization
REGENTS OF THE UNIVERSITY OF CALIFORNIA
Organization subpart
Yes

Provider details

NPI number
Legal business name
REGENTS OF THE UNIVERSITY OF CALIFORNIA
Authorized official
JOHN A. HEYDT MD (CHIEF EXECUTIVE OFFICER)
(714) 456-2986
Entity
Organization

Contact information

Practice address
6276 RIVER CREST DR, RIVERSIDE, CA 92507-0783
(951) 413-0225
(951) 653-5101
Mailing address
PO BOX 31001-2130, PASADENA, CA 91110-2130
(213) 412-1973
(213) 412-1981

Taxonomy

Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary

Other

Enumeration date
01/30/2015
Last updated
01/30/2015
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