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NPI Code Detail

MEDICARE: ARTHRITIS ORTHOPEDIC AND SPORTS MEDICAL CENTER

MEDICARE: ARTHRITIS ORTHOPEDIC AND SPORTS MEDICAL CENTER
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
1207XS0114XAdult Reconstructive Orthopaedic Surgery PhysicianG46741CA
2225100000XPhysical TherapistPT27963CA
3207XS0117XOrthopaedic Surgery of the Spine PhysicianG64893CA

General Provider Information

NPI Number : 1780666446
Entity Type Code : Organization
Provider Name (Legal Business Name) : ARTHRITIS ORTHOPEDIC AND SPORTS MEDICAL CENTER
Provider Business Mailing Address
First Line : 1505 WILSON TER
Second Line : SUITE 200
City : GLENDALE
State : CA
Zip : 91206-4071
Country : US
Telephone Number : 818-246-8974
Fax Number : 818-246-7673
Provider Business Practice Location Address
First Line : 1505 WILSON TER
Second Line : SUITE 200
City : GLENDALE
State : CA
Zip : 91206-4071
Country : US
Telephone Number : 818-246-8974
Fax Number : 818-246-7673
Authorized Official
Title or Position : MANAGING PARTNER
Name : DR. CARLO ANTHONY ORLANDO
Credential : M.D.
Telephone Number : 818-246-8974
Provider Enumeration Date : 11/17/2005
Last Update Date : 03/13/2008

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1063499937 — DR. HRAIR A KOUTNOUYAN MD
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Directions to “ARTHRITIS ORTHOPEDIC AND SPORTS MEDICAL CENTER ” Practice Location

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