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Organization
FIRST CHOICE DOCTORS MEDICAL GROUP
Active
Organization
FIRST CHOICE DOCTORS MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERE J MISSIRIAN MD (PRESIDENT)
(818) 759-2555
Entity
Organization
Contact information
Practice address
6801 COLDWATER CANYON AVE STE 1E, NORTH HOLLYWOOD, CA 91605-5167
(818) 759-2555
Mailing address
13029A VICTORY BLVD # 525, NORTH HOLLYWOOD, CA 91606-2925
(818) 759-2555
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
G84264
CA
207XS0117X
Orthopaedic Surgery of the Spine Physician
G84264
CA
261QA1903X
Ambulatory Surgical Clinic/Center
G84264
CA
Other
Enumeration date
08/31/2007
Last updated
08/31/2007
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