Organization
ALEXANDER GHATAN, DO, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDER GHATAN DO (PRESIDENT)
(818) 613-0551
Entity
Organization
Contact information
Practice address
16952 VENTURA BLVD, ENCINO, CA 91316-4197
(818) 789-3964
(818) 789-3967
Mailing address
1255 FEDERAL AVE APT 104, LOS ANGELES, CA 90025-3969
(818) 613-0551
(818) 789-3967
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
Other
Enumeration date
07/07/2020
Last updated
07/07/2020
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