Organization
RANCHO CUCAMONGA ORTHOPEDIC PAIN MANAGEMENT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PEJMAN E. SHIRAZY M.D. (PRESIDENT/MEDICAL DIRECTOR)
(818) 789-3964
Entity
Organization
Contact information
Practice address
8599 HAVEN AVE STE 104, RANCHO CUCAMONGA, CA 91730-4849
(909) 980-0917
(888) 416-6865
Mailing address
16952 VENTURA BLVD, ENCINO, CA 91316-4197
(818) 789-3964
(818) 789-3967
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
A76100
CA
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
01/24/2015
Last updated
07/21/2022
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