Organization
PACIFIC HILLS NEUROSURGICAL MEDICAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IGOR FINEMAN M.D. (OWNER)
(818) 242-5339
Entity
Organization
Contact information
Practice address
1505 WILSON TER, SUITE 300, GLENDALE, CA 91206-4071
(818) 242-5339
(818) 242-5272
Mailing address
1505 WILSON TER, SUITE 300, GLENDALE, CA 91206-4071
(818) 242-5339
(818) 242-5272
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
A55380
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A55380
STATE LICENSE
CA
Enumeration date
01/19/2007
Last updated
08/22/2020
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