Organization
AMERICAN SPINE PC
Active
Other names
AMERICAN SPINE
Organization subpart
No
Provider details
NPI number
Authorized official
KHURAM AKBAR SIAL MD (PRESIDENT/ OWNER)
(310) 792-3914
Entity
Organization
Contact information
Practice address
1810 FULLERTON AVE, SUITE #104, CORONA, CA 92881-3103
(951) 279-0100
(951) 734-7245
Mailing address
PO BOX 3098, TORRANCE, CA 90510-3098
(310) 792-3914
(855) 898-4055
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
A90421
CA
208VP0000X
Pain Medicine Physician
A90421
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6882920002
MEDICARE DME PTAN 2
CA
Enumeration date
10/21/2013
Last updated
06/03/2015
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