Organization
AMERICAN SPINE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KHURAM A SIAL M.D. (OWNER/MEDICAL DIRECTOR)
(909) 276-7246
Entity
Organization
Contact information
Practice address
39765 DATE ST, 101, MURRIETA, CA 92563-2005
(951) 734-7246
(877) 694-3331
Mailing address
PO BOX 3098, TORRANCE, CA 90510-3098
(310) 792-3914
(855) 898-4055
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
A90421
CA
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6882920002
MEDICARE DMEPOS
CA
Enumeration date
04/27/2012
Last updated
06/03/2015
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