Provider Demographics
NPI:1215362512
Name:A&G SPINAL SOLUTIONS II
Entity Type:Organization
Organization Name:A&G SPINAL SOLUTIONS II
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ERNIE
Authorized Official - Middle Name:
Authorized Official - Last Name:PILAPIL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-412-8482
Mailing Address - Street 1:3300 E SOUTH ST
Mailing Address - Street 2:SUITE 205 A
Mailing Address - City:LAKEWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90805-4549
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3300 E SOUTH ST
Practice Address - Street 2:SUITE 205 A
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90805-4509
Practice Address - Country:US
Practice Address - Phone:949-412-8482
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-06
Last Update Date:2015-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA7252550001Medicare NSC