Organization · Type 2 NPI

Southern California Spine and Sport Medical Associates, Inc

Pain Medicine (Anesthesiology) Physician · Newport Beach, CA

NPI number 1902800543 Active

Practice location

1401 Avocado Ave Ste 709
Newport Beach, CA 92660-8714

Fax (949) 999-5813

Specialties and licenses

Taxonomy	Code	License
Pain Medicine (Anesthesiology) Physician Primary	207LP2900X	G53385 (CA)
Pain Medicine (Anesthesiology) Physician	207LP2900X	None listed
Physician Assistant	363A00000X	None listed
Medical Physician Assistant	363AM0700X	Q34724 (CA)
Medical Physician Assistant	363AM0700X	PA65976 (CA)
Surgical Physician Assistant	363AS0400X	None listed

Pain Medicine (Anesthesiology) Physician: An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.

7 other providers at this address

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About NPI 1902800543

Southern California Spine and Sport Medical Associates, Inc's National Provider Identifier is 1902800543, issued on Jun 10, 2005. The primary taxonomy on file is Pain Medicine (Anesthesiology) Physician (207LP2900X), and the practice location is in Newport Beach, CA. The record was last updated on Apr 26, 2023.