Organization
SPINE GROUP BEVERLY HILLS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN J REGAN MD (PRESIDENT)
(310) 881-3730
Entity
Organization
Contact information
Practice address
2811 WILSHIRE BLVD STE 930, SANTA MONICA, CA 90403-4803
(310) 881-3730
(310) 496-1386
Mailing address
2811 WILSHIRE BLVD STE 930, SANTA MONICA, CA 90403-4803
(310) 881-3730
(310) 496-1386
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
—
—
Other
Enumeration date
08/27/2014
Last updated
10/18/2021
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