Organization
BROADWAY SURGERY SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPAN KASIMIAN MD (PRESIDENT)
(818) 720-6811
Entity
Organization
Contact information
Practice address
1101 E BROADWAY STE 200, GLENDALE, CA 91205-1396
(818) 500-9286
Mailing address
1101 E BROADWAY STE 201, GLENDALE, CA 91205-1396
(213) 361-7038
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
04/07/2023
Last updated
04/07/2023
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