Organization
SPALDING SURGICAL GROUP
Active
Organization
SPALDING SURGICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NEIL SHAILESH GHODADRA MD (MEDICAL DIRECTOR)
(678) 596-1344
Entity
Organization
Contact information
Practice address
120 S SPALDING DR, STE 401, BEVERLY HILLS, CA 90212-1800
(678) 596-1344
Mailing address
120 S SPALDING DR, STE 401, BEVERLY HILLS, CA 90212-1800
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
A116163
CA
Other
Enumeration date
05/21/2015
Last updated
05/21/2015
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