| Spinecare Medical Group Inc | |
|
455 Hickey Blvd Suite 310 Daly City CA 94015 | |
| (650) 985-7500 | |
| (650) 731-4434 |
| Full Name | Spinecare Medical Group Inc |
|---|---|
| Speciality | Orthopaedic Surgery - Orthopaedic Surgery Of The Spine |
| Location | 455 Hickey Blvd, Daly City, California |
| Authorized Official Name and Position | James B Reynolds (MEDICAL DOCTOR) |
| Authorized Official Contact | 6509857500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spinecare Medical Group Inc 455 Hickey Blvd Suite 310 Daly City CA 94015 Ph: (650) 985-7500 | Spinecare Medical Group Inc 455 Hickey Blvd Suite 310 Daly City CA 94015 Ph: (650) 985-7500 |
| NPI Number | 1720050859 |
|---|---|
| Provider Enumeration Date | 02/02/2006 |
| Last Update Date | 02/14/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720050859 | NPI | - | NPPES |
| CD7208 | Other | CA | MEDICARE RAILROAD GRP# |
| ZZZ19182Z | Other | CA | BLUE SHIELD GRP# |
| GR0041210 | Medicaid | CA |
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