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General NPI Number Information
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NPI Number | 1134088354
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Entity Type | Organization
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Legal Business Name | NEUROTRAUMA MEDICAL GROUP, INC.
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Dates
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Enumeration Date | 01/22/2026
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Last Update Date | 01/23/2026
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Provider Practice Location Address
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Address Line | 1577 E CHEVY CHASE DR STE 110
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City | GLENDALE
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State | CA
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Zip | 91206-4091
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Country | US
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Telephone | 818-221-8000
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Fax |
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Provider Business Mailing Address
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Address Line | 960 W 7TH ST APT 4401
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City | LOS ANGELES
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State | CA
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Zip | 90017-5982
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MR. ARASH YOUSEFI
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Credential | MD
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Telephone | 718-844-6244
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP3300X
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Taxonomy Name | Pain Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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