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General NPI Number Information
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NPI Number | 1407650625
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Entity Type | Organization
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Legal Business Name | ORTHOPEDIC SPINE AND URGENT CARE
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Dates
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Enumeration Date | 04/04/2025
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Last Update Date | 08/18/2025
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Provider Practice Location Address
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Address Line | 1513 S GRAND AVE STE 380
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City | LOS ANGELES
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State | CA
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Zip | 90015-3070
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Country | US
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Telephone | 310-337-2589
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Fax | 833-450-5061
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Provider Business Mailing Address
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Address Line | 17525 VENTURA BLVD STE 210
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City | ENCINO
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State | CA
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Zip | 91316-5111
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Country | US
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Telephone | 818-986-2861
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Fax | 818-638-5762
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Authorized Official
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Title or Position | OWNER
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Name | JOHN ATTENELLO
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Credential | MD
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Telephone | 310-337-2589
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XX0801X
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Taxonomy Name | Orthopaedic Trauma Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number |
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License Number State |
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