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NPI Code Detail

MEDICARE: CALIFORNIA SPINE INSTITUTE MEDICAL CENTER, INC.

MEDICARE: CALIFORNIA SPINE INSTITUTE MEDICAL CENTER, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208100000XPhysical Medicine & Rehabilitation PhysicianPT27911CA

General Provider Information

NPI Number : 1952411027
Entity Type Code : Organization
Provider Name (Legal Business Name) : CALIFORNIA SPINE INSTITUTE MEDICAL CENTER, INC.
Provider Business Mailing Address
First Line : 1001 NEWBURY RD
Second Line :
City : THOUSAND OAKS
State : CA
Zip : 91320-6434
Country : US
Telephone Number : 805-375-7980
Fax Number : 805-375-0513
Provider Business Practice Location Address
First Line : 1001 NEWBURY RD
Second Line :
City : THOUSAND OAKS
State : CA
Zip : 91320-6434
Country : US
Telephone Number : 805-375-7980
Fax Number : 805-375-0513
Authorized Official
Title or Position : CEO/PRESIDENT
Name : DR. JOHN CHIH CHIU SR.
Credential : M.D.
Telephone Number : 805-375-7980
Provider Enumeration Date : 08/30/2006
Last Update Date : 02/23/2017

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