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Organization

CONSERVATIVE CARE SPECIALISTS MEDICAL GROUP INC

Active
Parent organization
CONSERVATIVE CARE SPECIALISTS MEDICAL GROUP INC
Organization subpart
Yes

Provider details

NPI number
Legal business name
CONSERVATIVE CARE SPECIALISTS MEDICAL GROUP INC
Authorized official
DR. JAYSON A. HYMES M.D. (PRESIDENT)
(818) 781-6684
Entity
Organization

Contact information

Practice address
6815 NOBLE AVE, SUITE 105, VAN NUYS, CA 91405
(818) 781-6684
(818) 781-4457
Mailing address
PO BOX 5486, ORANGE, CA 92863-5486
(818) 550-0900
(303) 953-8260

Taxonomy

Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
G056728
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GR0065790
CA
Enumeration date
02/01/2007
Last updated
05/20/2020
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