| NPI | 1184134892 |
|---|---|
| Other Name | DIAGNOSTIC AND INTERVENTIONAL SPINE CARE, A MEDICAL CORPORATION |
| Entity Type | Organization |
| Authorized Contact | DAWN MARIE KENNEDY Practice Administrator 310-574-0367 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| Enumeration Date | 2017-10-08 |
| Last Update Date | 2017-10-28 |