Organization
MATTHEW ROOT DO INC
Active
Other names
Innovative Pain and Spine Center
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW S ROOT D.O. (OWNER)
(818) 621-0019
Entity
Organization
Contact information
Practice address
13320 RIVERSIDE DR STE 214, SHERMAN OAKS, CA 91423-2512
(818) 621-0019
(818) 671-5556
Mailing address
13320 RIVERSIDE DR STE 214, SHERMAN OAKS, CA 91423-2512
(818) 621-0019
(818) 671-5556
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
Other
Enumeration date
08/30/2018
Last updated
11/07/2022
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