Individual
DR. MUZAMMIL MEMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6815 NOBLE AVE, VAN NUYS, CA 91405-3796
(818) 901-6600
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
175836
CA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
A175836
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
175836
MBC
CA
Enumeration date
12/24/2021
Last updated
08/04/2022
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