Organization
SHERMAN OAKS PAIN AND SPINE INSTITUTE INC
Active
Organization
SHERMAN OAKS PAIN AND SPINE INSTITUTE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YASHAR ILKHCHOUI (CEO, PRESIDENT)
(818) 638-1159
Entity
Organization
Contact information
Practice address
4911 VAN NUYS BLVD STE 307, SHERMAN OAKS, CA 91403-1751
(818) 638-1159
Mailing address
4533 VISTA DEL MONTE AVE, APT. 206, SHERMAN OAKS, CA 91403-3031
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
A135166
CA
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
09/13/2016
Last updated
02/19/2020
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