Organization
ST JOHN BOSCO HIGH SCHOOL
Active
Other names
SJB Sports Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
MELODY MOHEBBI (ADMISTRATOR)
(562) 920-1734
Entity
Organization
Contact information
Practice address
13640 BELLFLOWER BLVD, BELLFLOWER, CA 90706-2408
(562) 920-1734
Mailing address
5050 SPRING VALLEY RD, DALLAS, TX 75244-3995
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
10/26/2020
Last updated
10/26/2020
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