SPECTRUM PAIN AND SPINE CENTER
NPI 1679031611
Clinic/Center - Pain in San Diego, CA
- Organization
- Clinic/Center
- Pain
About SPECTRUM PAIN AND SPINE CENTER
This page provides the complete NPI Profile along with additional information for Spectrum Pain And Spine Center, a provider established in San Diego, California operating as a Clinic/center, focusing in pain . The healthcare provider is registered in the NPI registry with number 1679031611 assigned on March 2019. The practitioner's primary taxonomy code is 261QP3300X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Spectrum Pain And Spine Center. The authorized official of this NPI record is Jesus Lao Md (Medical Director)
- NPI
- 1679031611 Verify this NPI
- Provider Legal Name
- JESUS H. LAO MD INC
- Other Organization Name
- SPECTRUM PAIN AND SPINE CENTER
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 6699 ALVARADO RD STE 2304 SAN DIEGO, CA 92120
- Location Phone
- (619) 255-8800
- Location Fax
- (619) 566-3827
- Mailing Address
- 25431 RUE DE FLEUR ESCONDIDO, CA 92026
- Mailing Phone
- (760) 484-4941
- Mailing Fax
- (619) 255-8083
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-08-2019
- Last Update Date
- 10-07-2020
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Pain
- Taxonomy Code
- 261QP3300X
- Type
- Ambulatory Health Care Facilities
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 2081P2900X | Allopathic & Osteopathic Physicians | Physical Medicine & Rehabilitation |
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1679031611, enumerated as an "organization" on March 08, 2019.
The provider is located at 6699 ALVARADO RD STE 2304 SAN DIEGO, CA 92120 and the phone number is (619) 255-8800.
Clinic/Center with taxonomy code 261QP3300X and a focus in Pain.
