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Organization
SHALOM PAIN TRETAMENT MEDICAL CTR, INC.
Active
Organization
SHALOM PAIN TRETAMENT MEDICAL CTR, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KOUROSH NOORMAND MD (DIRECTOR)
(310) 601-7302
Entity
Organization
Contact information
Practice address
9663 SANTA MONICA BLVD, #683, BEVERLY HILLS, CA 90210-4303
(310) 601-7302
(310) 601-7276
Mailing address
9663 SANTA MONICA BLVD, #683, BEVERLY HILLS, CA 90210-4303
(310) 601-7302
(310) 601-7276
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A50982
CA
Other
Enumeration date
05/15/2006
Last updated
03/23/2015
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