Organization
SPINAL REHABILITATION MEDICAL GROUP, INC.
Active
Parent organization
SPINAL REHABILITATION MEDICAL GROUP, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
SPINAL REHABILITATION MEDICAL GROUP, INC.
Authorized official
JORGE MORAN M.D. (MEDICAL DIRECTOR)
(310) 829-2225
Entity
Organization
Contact information
Practice address
2317 BROADWAY, SANTA MONICA, CA 90404-2915
(310) 829-2225
Mailing address
2980 N BEVERLY GLEN CIR, SUITE 301, LOS ANGELES, CA 90077-1726
(310) 474-9809
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
04/21/2011
Last updated
04/21/2011
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