Provider Demographics
NPI:1972973501
Name:ONE BRAIN AND SPINE PHYSICIANS
Entity Type:Organization
Organization Name:ONE BRAIN AND SPINE PHYSICIANS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:BURAK
Authorized Official - Middle Name:
Authorized Official - Last Name:OZGUR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:949-383-4190
Mailing Address - Street 1:361 HOSPITAL RD
Mailing Address - Street 2:SUITE 224
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92663-3522
Mailing Address - Country:US
Mailing Address - Phone:949-383-4190
Mailing Address - Fax:
Practice Address - Street 1:361 HOSPITAL RD
Practice Address - Street 2:SUITE 224
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92663-3522
Practice Address - Country:US
Practice Address - Phone:949-383-4190
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-25
Last Update Date:2015-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA207T00000X, 207XS0117X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Multi-Specialty
No207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the SpineGroup - Multi-Specialty