Organization
RANCHO CUCAMONGA ORTHOPEDIC PAIN MANAGEMENT, INC.
Active
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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