Mark Ganjianpour in Los Angeles - Sports Medicine

Mark Ganjianpour - NPI 1447229570

Mark Ganjianpour is a Sports Medicine in Los Angeles, California. Mark Ganjianpour practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Mark Ganjianpour is 1447229570. The last update date is 2014-01-29.

Mark Ganjianpour's current location address is 6330 San Vicente Blvd, Los Angeles, California. You can contact this provider via phone number 3108550751 and fax number 3103582453. The mailing address for Mark Ganjianpour is 6330 San Vicente Blvd, Los Angeles, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Mark Ganjianpour
Address 6330 San Vicente Blvd, Los Angeles, California
Phone Number 3108550751
Fax Number 3103582453
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1447229570
Provider Enumeration Date 2006-03-14
Last Updated Date 2014-01-29

Provider Mailing Address Detail

Address 6330 San Vicente Blvd
City Los Angeles
State California (CA)
Post Code 900485425
Phone Number 3108550751
Fax Number 3103582453

Provider's Primary Taxonomy Detail

Speciality Sports Medicine
Taxonomy 207Xx0005X
Licence No A71208
Definition:
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, train

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
P00068539 CA RAILROAD MEDICARE
346434300 CA DEPT OF LABOR
00A712080 CA --

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FAQs about Mark Ganjianpour

What is the unique provider identifier assigned to Mark Ganjianpour?

The Mark Ganjianpour has been issued the NPI (National Provider Identifier) 1447229570 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Mark Ganjianpour?

The Mark Ganjianpour is physically situated at 6330 San Vicente Blvd, in the city of Los Angeles, state of CA, with the postal code 900485425.

What is the Mark Ganjianpour's area of specialization and corresponding taxonomy classification?

The Mark Ganjianpour's specialty field is Sports Medicine, and it falls under the taxonomy code 207Xx0005X, which categorizes healthcare providers based on their specialties.

When was the Mark Ganjianpour's 1447229570 issued?

The Mark Ganjianpour's 1447229570 was issued on 2006-03-14.

When was the information pertaining to Mark Ganjianpour most recently updated or revised?

The details related to Mark Ganjianpour, including its address, specialty, and other relevant information, were last updated or revised on 2014-01-29.

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