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

Spine Institute Inc , a Medical Corporation

Organization Orthopaedic Surgery of the Spine Physician · NPI 1538218672

Spine Institute Inc , a Medical Corporation is an Orthopaedic Surgery of the Spine Physician in Sherman Oaks, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
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

4849 Van Nuys Blvd Ste 217
Sherman Oaks, CA 91403-2128
Phone: (818) 990-4100
Fax: (818) 990-4199
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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 · Licence G68053 (CA)

Record details

NPI number1538218672
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Liza Logan — Chief Operating Officer · (818) 993-2542
Other names Valley Spine Center Aka The Spine Institute At Miracle Mile
NPI enumeratedJanuary 9, 2007
Last updated in NPPESJanuary 23, 2012
Mailing address4849 Van Nuys Blvd, Suite 217, Sherman Oaks, CA 91403-2128

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