Organization
MOUNT SINAI SURGERY GROUP, INC
Active
Organization
MOUNT SINAI SURGERY GROUP, INC
Active
Other names
Mount Sinai Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HOOMAN SHABATIAN M.D. (OWNER)
(818) 342-2696
Entity
Organization
Contact information
Practice address
18425 BURBANK BLVD, SUITE 102, TARZANA, CA 91356-2806
(818) 342-2696
(818) 343-1677
Mailing address
18425 BURBANK BLVD, SUITE 102, TARZANA, CA 91356-2806
(818) 342-2696
(818) 343-1677
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
04/25/2012
Last updated
05/15/2012
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