Organization
SKILLED PHYSICIANS GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARDIA AARON ANVAR MD (PRESIDENT)
(310) 445-5999
Entity
Organization
Contact information
Practice address
3747 FOOTHILL BLVD # B140, GLENDALE, CA 91214-1700
(310) 445-5999
Mailing address
12021 WILSHIRE BLVD # 745, LOS ANGELES, CA 90025-1206
(310) 445-5999
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
12/12/2019
Last updated
12/12/2019
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