Organization
ST. CHARLES SPINE INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONICA FANDINO (BILLING MANAGER)
(805) 379-2322
Entity
Organization
Contact information
Practice address
1001 NEWBURY RD, THOUSAND OAKS, CA 91320-6434
(805) 379-2322
(805) 379-6786
Mailing address
1001 NEWBURY RD, THOUSAND OAKS, CA 91320-6434
(805) 379-2322
(805) 379-2373
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
05/31/2023
Last updated
04/02/2026
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