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Spondylos Medical Group, Inc.

Orthopaedic Surgery of the Spine Physician in La Jolla, CA · enumerated 2007 · authorized official Bruce Van Dam, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1104038587

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Registry record

Entity type Organization (Type 2)
Legal business name Spondylos Medical Group, Inc.
Practice address 4130 La Jolla Village Dr, Suite 300, La Jolla, CA, 92037
Phone (858) 587-0700
Fax (858) 587-0401
Enumeration date May 5, 2007
Last updated in NPPES Aug 22, 2020

Taxonomy & classification

207XS0117X Orthopaedic Surgery of the Spine Physician Allopathic & Osteopathic Physicians · License G35628 (CA) Primary

Authorized official

Name Bruce Van Dam
Title President
Phone (858) 587-0700

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-08-22. Verify at npiregistry.cms.hhs.gov.
Where is Spondylos Medical Group, Inc. located?
The practice location on file with NPPES is in La Jolla, CA.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-22.