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SPINE AND PAIN TREATMENT MEDICAL CENTER OF SANTA MARIA INC

Surgery Yellow Pages

Santa Maria, California

Provider NPI: 1881688554

Organization Information:
Organization Name:  SPINE AND PAIN TREATMENT MEDICAL CENTER OF SANTA MARIA INC


Practice Location:
135 CARMEN LN  SANTA MARIA, CA 93458 US
Tel: 805-928-1115  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y261QA1903XAmbulatory Health Care Facilities
Clinic/Center
Ambulatory Surgical
CA050000561

Other Provider Identifiers:

IssuerNumberStateType
USDL PIN18439900001
DHS MEDI-CAL CERTIFICATION NUMBER05-C0001539CA01
RAILROAD MEDICARE GROUP PTANP00305321CA01
CCN FIRST HEALTH PIN554447701
DEA CLINIC REGISTRATION CERTIFICATEBS9637820CA01
SECRETARY OF STATE CORPORATIONC2179691CA01
CA MEDICAL BOARD FICTITIOUS NAME PERMITFNP 32177CA01
AETNA HEALTH PROVIDER NUMBER7399463CA01
DPH SURGICAL CLINIC LICENSE050000561CA01
DCA BOARD OF PHARMACY CLINIC PERMITCLN 1070CA01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin



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