Healthcare Provider Details

I. General information

NPI: 1972973501
Provider Name (Legal Business Name): ONE BRAIN AND SPINE PHYSICIANS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2015
Last Update Date: 12/01/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

361 HOSPITAL RD SUITE 224
NEWPORT BEACH CA
92663-3522
US

IV. Provider business mailing address

361 HOSPITAL RD SUITE 224
NEWPORT BEACH CA
92663-3522
US

V. Phone/Fax

Practice location:
  • Phone: 949-383-4190
  • Fax:
Mailing address:
  • Phone: 949-383-4190
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License Number
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207XS0117X
TaxonomyOrthopaedic Surgery of the Spine Physician
License Number
License Number StateCA

VIII. Authorized Official

Name: DR. BURAK OZGUR
Title or Position: PRESIDENT/CEO
Credential: M.D.
Phone: 949-383-4190