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Organization

ST. CHARLES SPINE INSTITUTE

Active
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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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