Organization
SPECTRUM MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMIN NIA D.C. (VP)
(714) 293-4571
Entity
Organization
Contact information
Practice address
5211 E WASHINGTON BLVD, SUTIE 18, COMMERCE, CA 90040-3959
(714) 293-4571
Mailing address
149 S. BARRINGTON, #754, LOS ANGELES, CA 90049
(714) 293-4571
(310) 471-9521
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
—
—
Other
Enumeration date
07/10/2009
Last updated
06/14/2011
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