NPI | 1538218672 |
---|---|
Doing Business As | VALLEY SPINE CENTER AKA THE SPINE INSTITUTE AT MIRACLE MILE |
Entity Type | Organization |
Authorized Contact | LIZA LOGAN Chief Operating Officer 818-993-2542 |
Organization Subpart ? | No |
Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: CA g68053) |
Enumeration Date | 2007-01-09 |
Last Update Date | 2012-01-23 |