Organization
K HANNANI, MD INC
Active
Organization
K HANNANI, MD INC
Active
Other names
Spine Specialty Institute
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAMBIZ HANNANI MD (PRESIDENT)
(626) 939-5900
Entity
Organization
Contact information
Practice address
1135 S SUNSET AVE STE 209, WEST COVINA, CA 91790-3938
(626) 939-5900
(626) 939-0211
Mailing address
1135 S SUNSET AVE STE 209, WEST COVINA, CA 91790-3938
(626) 939-5900
(626) 939-0211
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
A061933
CA
Other
Enumeration date
12/01/2006
Last updated
09/30/2011
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