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General NPI Number Information
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NPI Number | 1487861282
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Entity Type | Organization
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Legal Business Name | UNITED MULTISPECIALTY MEDICAL GROUP
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Dates
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Enumeration Date | 05/17/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 6801 COLDWATER CANYON AVE STE 1E
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City | NORTH HOLLYWOOD
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State | CA
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Zip | 91605-5167
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Country | US
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Telephone | 818-759-2555
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Fax | 818-759-2556
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Provider Business Mailing Address
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Address Line | 13029A VICTORY BLVD STE 526
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City | NORTH HOLLYWOOD
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State | CA
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Zip | 91606-2925
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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 | PRESIDENT
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Name | DR. ROBERE J MISSIRIAN
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Credential | M.D.
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Telephone | 818-759-2555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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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 | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #7
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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 #8
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Taxonomy Code | 261QX0100X
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Taxonomy Name | Occupational Medicine Clinic/Center
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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