# ROBERE J. MISSIRIAN MD INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MOMG/Missirian Orthopaedic Medical Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003023821
- **Authorized official:** DR. ROBERE J MISSIRIAN MD (PRESIDENT)
- **Authorized official phone:** (818) 759-2555

## Contact information

- **Practice address:** 6801 COLDWATER CANYON AVE STE 1E, NORTH HOLLYWOOD, CA 91605-5167
- **Practice address phone:** (818) 759-2555
- **Practice address fax:** (818) 759-2556
- **Mailing address:** 13029A VICTORY BLVD \# 525, NORTH HOLLYWOOD, CA 91606-2925
- **Mailing address phone:** (818) 759-2555

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | CA | — |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/17/2007
- **Last updated:** 06/17/2009