Organization
SPINE RESTORATION A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS J HOPKINS PHD, MD (CEO)
(818) 981-2288
Entity
Organization
Contact information
Practice address
16030 VENTURA BLVD STE 400, ENCINO, CA 91436-2778
(818) 981-2288
(818) 981-2389
Mailing address
16030 VENTURA BLVD STE 400, ENCINO, CA 91436-2778
(818) 981-2288
(818) 981-2389
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
G71795
CA
Other
Enumeration date
07/31/2017
Last updated
07/21/2022
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