Organization
SPINAL-IQ PRO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREG PELLATT (CEO)
(103) 463-3619
Entity
Organization
Contact information
Practice address
7131 YORKTOWN AVE # 1069, HUNTINGTON BEACH, CA 92648-2464
(310) 463-3619
Mailing address
7131 YORKTOWN AVE # 1069, HUNTINGTON BEACH, CA 92648-2464
(310) 463-3619
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
05/15/2025
Last updated
07/18/2025
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