| NPI | 1487861282 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERE J MISSIRIAN President 818-759-2555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine |
| 207XX0005X Orthopaedic Surgery, Sports Medicine | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine | |
| 261QA1903X Clinic/Center, Ambulatory Surgical | |
| 261QH0100X Clinic/Center, Health Services | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 261QP3300X Clinic/Center, Pain | |
| 261QX0100X Clinic/Center, Occupational Medicine | |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2020-08-22 |