MOMG/MISSIRIAN ORTHOPAEDIC MEDICAL GROUP – NPI #1003023821
Clinic/Center

MOMG/MISSIRIAN ORTHOPAEDIC MEDICAL GROUP is an AHC clinic located in NORTH HOLLYWOOD, CA. NPPES has assigned the NPI number 1003023821 to MOMG/MISSIRIAN ORTHOPAEDIC MEDICAL GROUP on May 17, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “MOMG/MISSIRIAN ORTHOPAEDIC MEDICAL GROUP” is a dba name, the actual legal business name for this organization is ROBERE J. MISSIRIAN MD INC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was previously updated about 17 years ago on Jun 17, 2009. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MOMG/MISSIRIAN ORTHOPAEDIC MEDICAL GROUP below.

NPI Profile for
ROBERE J. MISSIRIAN MD INC

NPI Number
1003023821
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ROBERE J. MISSIRIAN MD INC
Doing Business As (dba): MOMG/MISSIRIAN ORTHOPAEDIC MEDICAL GROUP
Primary location
6801 COLDWATER CANYON AVE STE 1E
NORTH HOLLYWOOD, CA 91605-5167
Phone: (818) 759-2555 Fax: (818) 759-2556
Mailing address
13029A VICTORY BLVD # 525
NORTH HOLLYWOOD, CA 91606-2925
Phone: (818) 759-2555 Fax:
Organization Subpart
No
Authorized Official
ROBERE MISSIRIAN
PRESIDENT
Phone: (818) 759-2555
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)
207X00000X
- Orthopaedic Surgery
CA

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.