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General NPI Number Information
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NPI Number | 1629273818
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Entity Type | Organization
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Legal Business Name | TOWER ORTHOPEDICS AND SPORTS MEDICINE
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Dates
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Enumeration Date | 06/18/2007
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Last Update Date | 02/11/2026
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Provider Practice Location Address
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Address Line | 6330 SAN VICENTE BLVD SUITE 310
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City | LOS ANGELES
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State | CA
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Zip | 90048-5425
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Country | US
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Telephone | 310-855-0751
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Fax | 310-358-2457
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Provider Business Mailing Address
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Address Line | 6330 SAN VICENTE BLVD STE 310
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City | LOS ANGELES
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State | CA
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Zip | 90048-5468
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Country | US
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Telephone | 310-855-0751
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Fax | 310-358-2457
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | MARK GANJIANPOUR
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Credential | MD
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Telephone | 310-880-6449
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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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