Organization
SPINE AND PAIN INSTITUTE OF ORANGE COUNTY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERRY S CHUANG M.D. (PRESIDENT)
(949) 340-9622
Entity
Organization
Contact information
Practice address
113 WATERWORKS WAY, SUITE 240, IRVINE, CA 92618-3167
(949) 340-9622
(949) 528-3969
Mailing address
PO BOX 5099, ORANGE, CA 92863-5099
(714) 571-5000
(714) 571-5055
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
207T00000X
Neurological Surgery Physician
G87832
CA
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
208VP0000X
Pain Medicine Physician
—
—
Other
Enumeration date
12/29/2011
Last updated
04/04/2012
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