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NPI Code Detail

MEDICARE: TOWER ORTHOPAEDICS AND SPORTS MEDICINE

MEDICARE: TOWER ORTHOPAEDICS AND SPORTS MEDICINE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207X00000XOrthopaedic Surgery Physician

General Provider Information

NPI Number : 1629273818
Entity Type Code : Organization
Provider Name (Legal Business Name) : TOWER ORTHOPAEDICS AND SPORTS MEDICINE
Provider Business Mailing Address
First Line : 6330 SAN VICENTE BLVD
Second Line : SUITE 310
City : LOS ANGELES
State : CA
Zip : 90048-5425
Country : US
Telephone Number : 310-855-0751
Fax Number : 310-358-2457
Provider Business Practice Location Address
First Line : 6330 SAN VICENTE BLVD
Second Line : SUITE 310
City : LOS ANGELES
State : CA
Zip : 90048-5425
Country : US
Telephone Number : 310-855-0751
Fax Number : 310-358-2457
Authorized Official
Title or Position : MANAGING PARTNER
Name : MARK GANJIANPOUR
Credential : M.D.
Telephone Number : 310-855-0751
Provider Enumeration Date : 06/18/2007
Last Update Date : 02/11/2014

Similar Medicare Providers

1447229570 — MARK GANJIANPOUR M.D.
Practice Location Address:
6330 SAN VICENTE BLVD , SUITE 310
LOS ANGELES, CA
90048-5425
Practice Phone: 310-855-0751
Practice Fax: 310-358-2453
1760406169 — DR. SAM BAKSHIAN M.D.
Practice Location Address:
6330 SAN VICENTE BLVD , SUITE 310
LOS ANGELES, CA
90048-5425
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Practice Fax: 310-358-2453
1649294984 — DR. RAJAN MAHENDRA PATEL M.D.
Practice Location Address:
6330 SAN VICENTE BLVD , SUITE 310
LOS ANGELES, CA
90048-5425
Practice Phone: 310-855-0751
Practice Fax: 310-358-2453
1932374261 — SAM BAKSHIAN MD A MEDICAL CORPORATION
Practice Location Address:
6330 SAN VICENTE BLVD , SUITE 310
LOS ANGELES, CA
90048-5425
Practice Phone: 310-855-0751
Practice Fax: 310-657-6342
1770806184 — M GANJIANPOUR, M.D. A PROFESSIONAL CORPORATION
Practice Location Address:
6330 SAN VICENTE BLVD , SUITE 310
LOS ANGELES, CA
90048-5425
Practice Phone: 310-855-0751
Practice Fax:
1538472162 — ALICIA MARIE MUCCIGROSSO PA-C
Practice Location Address:
6330 SAN VICENTE BLVD , SUITE 310
LOS ANGELES, CA
90048-5425
Practice Phone: 310-855-0751
Practice Fax:

Directions to “TOWER ORTHOPAEDICS AND SPORTS MEDICINE ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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