Organization
SPINE RECONSTRUCTION PARTNERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN PATRICK JOHNSON MD (PARTNER)
(310) 423-9900
Entity
Organization
Contact information
Practice address
444 S SAN VICENTE BLVD, SUITE #800, LOS ANGELES, CA 90048-4165
(310) 423-9900
Mailing address
444 S SAN VICENTE BLVD, SUITE #800, LOS ANGELES, CA 90048-4165
(310) 423-9900
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TAX ID NUMBER
—
CA
Enumeration date
07/19/2006
Last updated
07/21/2022
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