Organization
EAST BAY SPINE SPECIALISTS INC A MEDICAL CORPORATION
Active
Organization
EAST BAY SPINE SPECIALISTS INC A MEDICAL CORPORATION
Active
Other names
Northern California Spine Institute
Organization subpart
No
Provider details
NPI number
Authorized official
CHIP KRULL (COO)
(925) 469-3120
Entity
Organization
Contact information
Practice address
5725 W LAS POSITAS BLVD, STE 200, PLEASANTON, CA 94588-4007
(925) 469-3120
(925) 924-1769
Mailing address
696 SAN RAMON VALLEY BLVD # 372, DANVILLE, CA 94526-4022
(925) 469-3120
(925) 924-1769
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
GROUP
CA
208100000X
Physical Medicine & Rehabilitation Physician
GROUP
CA
Other
Enumeration date
06/27/2005
Last updated
01/14/2019
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