Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

La Jolla Spine Institute Medical Group, Inc

Organization Orthopaedic Surgery of the Spine Physician · NPI 1073677811

La Jolla Spine Institute Medical Group, Inc is an Orthopaedic Surgery of the Spine Physician in San Diego, California. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6719 Alvarado Rd Ste 308
San Diego, CA 92120
Phone: (619) 265-7912
Fax: (619) 265-7922
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery of the Spine Physician (primary) Taxonomy 207XS0117X

Record details

NPI number1073677811
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ramin Raiszadeh — President · (619) 265-7912
Other names Spine Institute Of San Diego; Spine Institute Of San Diego
NPI enumeratedDecember 19, 2006
Last updated in NPPESFebruary 9, 2023
Certification dateOctober 11, 2022
Mailing address6719 Alvarado Road, Suite 308, San Diego, CA 92120

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