Organization
ORTHOPEDIC PAIN MANAGEMENT CENTER, A MEDICAL CORPORATION
Active
Other names
Joint Spine & Sport Orthopedic Pain Management Center
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMMAD ALI DORAFSHAR (CONSULTANT)
(818) 999-0099
Entity
Organization
Contact information
Practice address
16952 VENTURA BLVD, ENCINO, CA 91316-4197
(818) 789-3964
(818) 789-3967
Mailing address
16952 VENTURA BLVD, ENCINO, CA 91316-4197
(818) 789-3964
(818) 789-3967
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
05/25/2006
Last updated
05/07/2018
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