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Organization
ORTHO MEDIX GROUP INC A PROFESSIONAL CORPORATION
Active
Organization
ORTHO MEDIX GROUP INC A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HARTYOUN I YOUSIF M.D. (MEDICAL DIRECTOR)
(818) 548-1635
Entity
Organization
Contact information
Practice address
800 S CENTRAL AVE # 303, GLENDALE, CA 91204-4370
(818) 648-1635
(818) 247-6157
Mailing address
P.O BOX 11300, GLENDALE, CA 91226
(818) 548-1635
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
9922
CA
174400000X
Specialist
Primary
A040779
CA
Other
Enumeration date
07/23/2009
Last updated
05/19/2016
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