AMERICAN SPINE
Organization (NPI-2)
Active
Physician Assistant, Medical
Provider Information
- NPI Number
1295107407- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 31569 CANYON ESTATES DR STE 135, LAKE ELSINORE, CA, 925320470
- Phone
- (951) 734-7246
- Fax
- (877) 694-3331
Specialties & Taxonomies
Physician Assistant, Medical
Primary License: CA #PA52942