Organization
SPINE CLINIC OF MONTEREY BAY
Active
Parent organization
THE SPINE CLINIC OF MENTEREY BAY
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE SPINE CLINIC OF MENTEREY BAY
Authorized official
CHRISTOPHER DAVID SUMMA M.D. (MANAGER)
(831) 465-8680
Entity
Organization
Contact information
Practice address
3035 N. MAIN STREET, SOQUEL, CA 95073-2204
(831) 465-8680
(831) 465-8682
Mailing address
3035 N. MAIN STREET, SOQUEL, CA 95073-2204
(831) 465-8680
(831) 465-8682
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
C52067
CA
207XS0117X
Orthopaedic Surgery of the Spine Physician
20A8078
CA
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
A72826
CA
208100000X
Physical Medicine & Rehabilitation Physician
20A7926
CA
Other
Enumeration date
11/21/2006
Last updated
08/19/2014
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