Organization
SPINE AND SPORTS URGENT CARE CENTER INC.
Active
Parent organization
SPINE AND SPORTS SPECIALTIES MEDICAL GROUP
Other names
Spine and Sports Urgent Care Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
SPINE AND SPORTS SPECIALTIES MEDICAL GROUP
Authorized official
MR. SCOTT LILLY (ADMINISTRATOR)
(805) 701-8580
Entity
Organization
Contact information
Practice address
1120 W. LA VETA AVENUE, SUITE 300, ORANGE, CA 92868-4233
(949) 280-2561
Mailing address
1120 W. LA VETA AVENUE, SUITE 300, ORANGE, CA 92868-4233
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
CA
Other
Enumeration date
01/13/2015
Last updated
01/13/2015
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