Organization
CALIFORNIA PAIN SURGICAL INSTITUTE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YASHAR GHOMRI DO (CEO AND DIRECTOR)
(630) 889-2122
Entity
Organization
Contact information
Practice address
1100 E BROADWAY STE 301, GLENDALE, CA 91205-1380
(310) 971-4757
(855) 795-4464
Mailing address
1100 E BROADWAY STE 301, GLENDALE, CA 91205-1380
(310) 971-4757
(855) 795-4464
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
12/17/2020
Last updated
12/17/2020
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