| Spinal Iq Pro Llc | |
|
7131 Yorktown Ave # 1069 Huntington Beach CA 92648-2464 | |
| (310) 463-3619 | |
| Not Available |
| Full Name | Spinal Iq Pro Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 7131 Yorktown Ave # 1069, Huntington Beach, California |
| Authorized Official Name and Position | Tonya Gilliam (VP OF BILLING) |
| Authorized Official Contact | 9726326877 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spinal Iq Pro Llc 7131 Yorktown Ave # 1069 Huntington Beach CA 92648-2464 Ph: (310) 463-3619 | Spinal Iq Pro Llc 7131 Yorktown Ave # 1069 Huntington Beach CA 92648-2464 Ph: (310) 463-3619 |
| NPI Number | 1699566935 |
|---|---|
| Provider Enumeration Date | 05/15/2025 |
| Last Update Date | 05/22/2025 |
| Certification Date | 05/22/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699566935 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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