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Organization
NORTHRIDGE PAIN MANAGEMENT SPECIALISTS MEDICAL CORPORATION
Active
Organization
NORTHRIDGE PAIN MANAGEMENT SPECIALISTS MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IMAD H RASOOL M.D.,PHD (CEO)
(818) 993-3428
Entity
Organization
Contact information
Practice address
8331 RESEDA BLVD, NORTHRIDGE, CA 91324-4620
(818) 993-3428
(818) 993-3469
Mailing address
PO BOX 33278, GRANADA HILLS, CA 91394-3278
(818) 993-3428
(818) 993-3469
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
10/17/2006
Last updated
04/08/2010
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