Organization
UNIVERSITY SPINE INSTITUTE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VANCE ZACHARY JOHNSON M.D. (CEO/PRESIDENT)
(951) 894-5000
Entity
Organization
Contact information
Practice address
28078 BAXTER RD, STE 128, MURRIETA, CA 92563-1402
(951) 894-5000
Mailing address
27475 YNEZ RD # 295, TEMECULA, CA 92591-4612
(951) 894-5000
(951) 679-1144
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
A68609
CA
207T00000X
Neurological Surgery Physician
A97961
CA
2081N0008X
Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
8914
CA
208VP0014X
Interventional Pain Medicine Physician
Primary
A61529
CA
Other
Enumeration date
02/12/2015
Last updated
02/12/2015
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