Organization
WEST COAST SPINE INSTITUTE APC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YURI FALKINSTEIN (PRESIDENT)
(818) 855-2565
Entity
Organization
Contact information
Practice address
16530 VENTURA BLVD, SUITE 130, ENCINO, CA 91436-4554
(818) 855-2565
Mailing address
16530 VENTURA BLVD, SUITE 130, ENCINO, CA 91436-4554
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
A85756
CA
Other
Enumeration date
10/15/2013
Last updated
10/15/2013
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