Organization
SPINE INC A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS J. HOPKINS M.D. (PRESIDENT)
(818) 981-2288
Entity
Organization
Contact information
Practice address
16030 VENTURA BLVD, 400, ENCINO, CA 91436-2731
(818) 981-2288
(310) 833-1830
Mailing address
16030 VENTURA BLVD, 400, ENCINO, CA 91436-2731
(818) 981-2288
(310) 833-1830
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
G71795
CA
Other
Enumeration date
04/03/2013
Last updated
10/14/2013
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