Organization
L A SURGERY-COLORECTAL SURGERY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMMAD A POURSHAHMIR MD (PRESIDENT)
(818) 205-3540
Entity
Organization
Contact information
Practice address
5353 BALBOA BLVD STE 201, ENCINO, CA 91316-2865
(818) 783-7277
(818) 783-9607
Mailing address
4400 W RIVERSIDE DR STE 110-2780, BURBANK, CA 91505-4046
(818) 205-3540
(818) 783-9607
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
A78449
CA
Other
Enumeration date
10/10/2006
Last updated
12/13/2023
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