Spooler, Justin Charles

Spooler, Justin Charles is an individual health care provider with primary practice located at 11234 Anderson St Llumc, House Staff Office Cp 21005, Loma Linda CA 92354-2804. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Neurological Surgery. Allopathic & Osteopathic Physicians / Neurological Surgery is his primary health care specialty. Spooler, Justin Charles can be contacted via phone (909) 558-4000.

Contact Information

Primary practice address
11234 Anderson St Llumc, House Staff Office Cp 21005 Loma Linda CA 92354-2804
Phone: (909) 558-4000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X A100848 California

Profile Details

NPI number 1962619924
LBN Legal business name Spooler, Justin Charles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2007
Last updated Nov 30th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962619924 NPPES
California MEDICAID 1962619924

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