Provider Demographics
NPI:1114226073
Name:FIRST CHOICE ORTHOPAEDICS & SPINE INSTITUTE
Entity Type:Organization
Organization Name:FIRST CHOICE ORTHOPAEDICS & SPINE INSTITUTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:FIGUEROA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-476-7010
Mailing Address - Street 1:13029A VICTORY BLVD # 526
Mailing Address - Street 2:
Mailing Address - City:NORTH HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:91606-2930
Mailing Address - Country:US
Mailing Address - Phone:818-476-7010
Mailing Address - Fax:
Practice Address - Street 1:6801 NORTH COLDWATER CANYON BLVD., #1E
Practice Address - Street 2:
Practice Address - City:NORTH HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91605
Practice Address - Country:US
Practice Address - Phone:818-759-2555
Practice Address - Fax:818-759-2556
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-17
Last Update Date:2011-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG84264174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty