Provider Demographics
NPI:1619739950
Name:ARCADIA SPINE INSTITUTE, INC.
Entity Type:Organization
Organization Name:ARCADIA SPINE INSTITUTE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING
Authorized Official - Prefix:
Authorized Official - First Name:ISABEL
Authorized Official - Middle Name:
Authorized Official - Last Name:LANDEROS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-445-0326
Mailing Address - Street 1:131 E HUNTINGTON DR
Mailing Address - Street 2:
Mailing Address - City:ARCADIA
Mailing Address - State:CA
Mailing Address - Zip Code:91006-3212
Mailing Address - Country:US
Mailing Address - Phone:626-445-0326
Mailing Address - Fax:626-445-5155
Practice Address - Street 1:131 E HUNTINGTON DR
Practice Address - Street 2:
Practice Address - City:ARCADIA
Practice Address - State:CA
Practice Address - Zip Code:91006-3212
Practice Address - Country:US
Practice Address - Phone:626-445-0326
Practice Address - Fax:626-445-5155
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-23
Last Update Date:2024-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Single Specialty