RANCHO CUCAMONGA ORTHOPEDIC PAIN MANAGEMENT, INC.

RANCHO CUCAMONGA, CA
NPI1750771077
Entity TypeOrganization
Authorized ContactPEJMAN E. SHIRAZY
President/Medical Director
818-789-3964
Organization Subpart ?No
Primary Taxonomy261QM1300X Clinic/Center, Multi-Specialty
Additional Taxonomies261QM1300X Clinic/Center, Multi-Specialty
(Licence: CA  A76100)
Enumeration Date2015-01-24
Last Update Date2022-07-21
Business Address
RANCHO CUCAMONGA ORTHOPEDIC PAIN MANAGEMENT, INC.
8599 HAVEN AVE STE 104
RANCHO CUCAMONGA, CA 91730-4849
Phone number: 909-980-0917
Mailing Address
RANCHO CUCAMONGA ORTHOPEDIC PAIN MANAGEMENT, INC.
16952 VENTURA BLVD
ENCINO, CA 91316-4197
Phone number: 818-789-3964