Provider Demographics
NPI:1083347926
Name:ORANGE COUNTY SPINE AND SPORTS, PC
Entity Type:Organization
Organization Name:ORANGE COUNTY SPINE AND SPORTS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:VIVEK
Authorized Official - Middle Name:
Authorized Official - Last Name:BABARIA
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:949-988-7813
Mailing Address - Street 1:3501 JAMBOREE RD STE 1250
Mailing Address - Street 2:
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92660-2959
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3501 JAMBOREE RD STE 1250
Practice Address - Street 2:
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92660-2959
Practice Address - Country:US
Practice Address - Phone:949-216-5277
Practice Address - Fax:949-402-8226
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-07
Last Update Date:2023-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain MedicineGroup - Single Specialty