Organization
STEPAN KASIMIAN MD INC
Active
Organization
STEPAN KASIMIAN MD INC
Active
Other names
Stepan O Kasimain MD
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPAN KASIMAIN MD (OWNER AND PHYSICIAN)
(818) 720-6811
Entity
Organization
Contact information
Practice address
3831 HUGHES AVE STE 105, CULVER CITY, CA 90232-6834
(310) 815-5035
(310) 558-1302
Mailing address
11645 WILSHIRE BLVD STE 800, LOS ANGELES, CA 90025-6811
(310) 996-0363
(310) 996-0224
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
A77961
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11643631
CAQH
CA
01
—
1720003619
IND TYPE 1 NPI
CA
Enumeration date
03/12/2008
Last updated
03/12/2008
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