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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

NPI Number 1295254050
LBN Legal business name GLENDALE BACK AND PAIN CENTER
Authorized official SASSAN KESHAVARZI - (MEDICAL DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 09/13/2017
Last updated 09/13/2017 - About 9 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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