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Organization

UNITED MULTISPECIALTY MEDICAL GROUP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROBERE J MISSIRIAN M.D. (PRESIDENT)
(818) 759-2555
Entity
Organization

Contact information

Practice address
6801 COLDWATER CANYON AVE STE 1E, NORTH HOLLYWOOD, CA 91605-5167
(818) 759-2555
(818) 759-2556
Mailing address
13029A VICTORY BLVD STE 526, NORTH HOLLYWOOD, CA 91606-2925

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
207XS0117X
Orthopaedic Surgery of the Spine Physician
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
208VP0014X
Interventional Pain Medicine Physician
261QA1903X
Ambulatory Surgical Clinic/Center
261QH0100X
Health Service Clinic/Center
Primary
261QM1300X
Multi-Specialty Clinic/Center
261QP3300X
Pain Clinic/Center
261QX0100X
Occupational Medicine Clinic/Center

Other

Enumeration date
05/17/2007
Last updated
09/11/2025
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