Individual
DR. JOHN O MISSIRIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1800 SULLIVAN AVE, STE 402 THE ORTHOPAEDIC GROUP OF SF INC, DALY CITY, CA 94015-2224
(650) 992-7700
(650) 756-6254
Mailing address
1800 SULLIVAN AVE, STE 402 THE ORTHOPAEDIC GROUP OF SF INC, DALY CITY, CA 94015-2224
(650) 992-7700
(650) 756-6254
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
A36762
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35OH1222
OHIO LICENSE
OH
05
—
OOC378150
—
CA
Enumeration date
04/24/2006
Last updated
12/14/2009
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