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Contact Information

GLENDALE BACK AND PAIN CENTER
710 S. CENTRAL AVE
SUITE 240
GLENDALE, CA91204
 Phone: 844-566-7246
 Fax: 844-637-8332
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurological Surgery

207T00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for GLENDALE BACK AND PAIN CENTER · (Female)

NPI Number 1295254050
Status Active
Credentials
Entity Individual
Enumeration date 09/13/2017
Last updated 09/13/2017 - About 9 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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