Organization
CALIFORNIA SPORTS AND SPINE INSTITUTE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAXIM MORADIAN MD (PRESIDENT/OWNER)
(818) 913-9356
Entity
Organization
Contact information
Practice address
317 S BRAND BLVD STE A-104, GLENDALE, CA 91204-1701
(818) 338-6860
(888) 425-9079
Mailing address
PO BOX 8323, LA CRESCENTA, CA 91224-0323
(818) 913-9356
(888) 425-9079
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
A118692
CA
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
A118692
CA
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
A118692
CA
Other
Enumeration date
03/23/2017
Last updated
02/20/2026
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