SPINE AXIS MEDICAL, INC.

RANCHO CUCAMONGA, CA
NPI1811365414
Entity TypeOrganization
Authorized ContactJOE WRIGHT
CEO
909-373-4633
Organization Subpart ?No
Primary Taxonomy246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic
Additional Taxonomies174400000X Specialist
246RP1900X Technician, Pathology, Phlebotomy
246YC3302X Spec/Tech, Health Info, Coding Specialist, Physician Office Based
247200000X Technician, Other
2472E0500X Technician, Other, EEG
305R00000X Preferred Provider Organization
305S00000X Point of Service
332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment
Enumeration Date2015-09-14
Last Update Date2015-09-14
Business Address
SPINE AXIS MEDICAL, INC.
10808 FOOTHILL BLVD SUITE 160-409
RANCHO CUCAMONGA, CA 91730-3889
Phone number: 909-373-4633
Mailing Address
SPINE AXIS MEDICAL, INC.
10808 FOOTHILL BLVD SUITE 160-409
RANCHO CUCAMONGA, CA 91730-3889
Phone number: