Organization
GLENDALE BACK AND PAIN CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SASSAN KESHAVARZI MD (MEDICAL DIRECTOR)
(844) 637-8363
Entity
Organization
Contact information
Practice address
710 S. CENTRAL AVE, SUITE 240, GLENDALE, CA 91204
(844) 566-7246
(844) 637-8332
Mailing address
350 N. GLENDALE AVE, SUITE B-504, GLENDALE, CA 91206
(844) 566-7246
(844) 637-8332
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Enumeration date
09/13/2017
Last updated
09/13/2017
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