Organization
SPINAL PROCEDURES MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAYAM VAHEDIFAR MD (OWNER AND PHYSICIAN)
(818) 986-0200
Entity
Organization
Contact information
Practice address
17525 VENTURA BLVD, STE 203, ENCINO, CA 91316-5109
(818) 986-0200
(818) 638-5762
Mailing address
17525 VENTURA BLVD, STE 203, ENCINO, CA 91316-5109
(818) 986-0200
(818) 638-5762
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
A63617
CA
Other
Enumeration date
01/17/2014
Last updated
01/17/2014
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