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Organization
SHALOM PAIN TREATMENT MEDICAL CENTER INC
Active
Organization
SHALOM PAIN TREATMENT MEDICAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KOUROSH NOORMAND M.D. (DIRECT OWNER)
(818) 497-3797
Entity
Organization
Contact information
Practice address
1016 S ROBERTSON BLVD, LOS ANGELES, CA 90035-1505
(818) 497-3797
(310) 860-1326
Mailing address
PO BOX 16713, BEVERLY HILLS, CA 90209-2713
(818) 497-3797
(310) 860-1326
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A50982
CA
207LP2900X
Pain Medicine (Anesthesiology) Physician
A50982
CA
Other
Enumeration date
03/29/2006
Last updated
05/24/2016
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