Provider Demographics
NPI:1114955036
Name:BRAIN AND SPINE SURGEONS OF ORANGE COUNTY,A MEDICAL CORPORATION
Entity Type:Organization
Organization Name:BRAIN AND SPINE SURGEONS OF ORANGE COUNTY,A MEDICAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:DUMA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:949-642-6787
Mailing Address - Street 1:3900 WEST COAST HIGHWAY
Mailing Address - Street 2:SUITE 300
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92663-4093
Mailing Address - Country:US
Mailing Address - Phone:949-642-6787
Mailing Address - Fax:949-642-4833
Practice Address - Street 1:3900 WEST COAST HIGHWAY
Practice Address - Street 2:SUITE 300
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92663-4093
Practice Address - Country:US
Practice Address - Phone:949-642-6787
Practice Address - Fax:949-642-4833
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-29
Last Update Date:2014-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Single Specialty