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Organization
MINIMALLY INVASIVE SPINE CARE INSTITUTE - INCORPORATED
Active
Organization
MINIMALLY INVASIVE SPINE CARE INSTITUTE - INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HARTYOUN ISAAK YOUSIF M.D. (PRESIDENT)
(818) 548-1635
Entity
Organization
Contact information
Practice address
1510 S CENTRAL AVE STE 230, GLENDALE, CA 91204-2583
(818) 548-1635
(818) 247-6157
Mailing address
1510 S CENTRAL AVE STE 230, GLENDALE, CA 91204-2583
(818) 548-1635
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A40779
CA
Other
Enumeration date
04/17/2007
Last updated
08/22/2020
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