MARK GANJIANPOUR


Address: 6330 San Vicente Blvd, Suite 310, Los Angeles, CA 90048-5425
Phone: 3108550751

MARK GANJIANPOUR (NPI# 1447229570) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1447229570
Entity Type Individual
Full Name MARK GANJIANPOUR
Credential M.D.
Practice Address 6330 San Vicente Blvd
Suite 310
Los Angeles
CA 90048-5425
Practice Telephone 3108550751
Practice Fax Number 3103582453
Mailing Telephone 3108550751
Mailing Fax Number 3103582453
Enumeration Date 2006-03-14
Last Update Date 2014-01-29
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207XX0005X Orthopaedic Surgery
Specialization: Sports Medicine
A71208 CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA DEPT OF LABOR 346434300 01
CA 00A712080 05
CA RAILROAD MEDICARE P00068539 01

Office Location

Street Address 6330 SAN VICENTE BLVD
SUITE 310
City LOS ANGELES
State CA
Zip Code 90048-5425

Providers in the same location

NPI Name Taxonomy Address Enumeration
1184047243 The Medical Office of Dr Charles Skiba Inc Family Medicine 6330 San Vicente Blvd, Suite 310, Los Angeles, CA 90048-5425 2014-01-27
1255753554 Erika A Poulin Acupuncturist 6330 San Vicente Blvd, Suite 310, Los Angeles, CA 90048-5425 2014-01-06
1053609438 Layne Kumetz M.d., Inc. Obstetrics & Gynecology 6330 San Vicente Blvd, Suite 300, Los Angeles, CA 90048-5425 2011-07-19
1538472162 Alicia Marie Muccigrosso Physician Assistant 6330 San Vicente Blvd, Suite 310, Los Angeles, CA 90048-5425 2010-07-25
1770806184 M Ganjianpour, M.d. A Professional Corporation Specialist 6330 San Vicente Blvd, Suite 310, Los Angeles, CA 90048-5425 2010-03-12
1932374261 Sam Bakshian Md A Medical Corporation Specialist 6330 San Vicente Blvd, Suite 310, Los Angeles, CA 90048-5425 2008-04-28
1629273818 Tower Orthopaedics and Sports Medicine Orthopaedic Surgery 6330 San Vicente Blvd, Suite 310, Los Angeles, CA 90048-5425 2007-06-18
1417165309 Rajan Patel Corporation Clinic/Center 6330 San Vicente Blvd, Suite 310, Los Angeles, CA 90048-5425 2007-05-21
1922192046 Charles Anthony Skiba Jr. Family Medicine 6330 San Vicente Blvd, Suite 310, Los Angeles, CA 90048-5425 2006-10-03
1760406169 Sam Bakshian Orthopaedic Surgery 6330 San Vicente Blvd, Suite 310, Los Angeles, CA 90048-5425 2006-07-27
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1609473420 Alden Advanced Surgicenter LLC Clinic/Center 8741 Alden Drive, Suite B, Los Angeles, CA 90048 2020-10-05
1760090062 New Dawn Tms Psychiatry Clinic/Center 640 S San Vincente Blvd, Ste. 210, Los Angeles, CA 90048 2020-07-22
1114547312 Savannah Marie Gonzales Student in an Organized Health Care Education/Training Program 8700 Beverly Blvd Suite 3636, Los Angeles, CA 90048 2020-04-17
1861048613 Sam Dawkins Internal Medicine Suite 415e, 8631 West Third Street, Los Angeles, CA 90048 2019-08-16
1295202638 Caleb Rogers Penn Anesthesiology Cedars-sinai Department of Anesthesiology, 8700 Beverly Blvd, Los Angeles, CA 90048 2018-10-24
1437641727 Medical Imaging Center of Southern California-beverly Hills, Inc Radiology 8727 Beverly Blvd, Los Angeles, CA 90048 2018-06-01
1689164121 Maulin Shah Student in an Organized Health Care Education/Training Program 8700 Beverly Blvd Suite 5512, Los Angeles, CA 90048 2018-05-10
1013423631 Abdul Ali Qaderi Anesthesiology 8700 Beverly Blvd Suite 4209, Los Angeles, CA 90048 2017-12-19
1619483559 Sakeenah Hakim Social Worker 292 S. La Cienega Blvd, Suite 102, Los Angeles, CA 90048 2017-12-14
1851805048 West Hollywood Medical Group Inc General Practice 8733 Beverly Blvd Suite #203, West Hollywood, CA 90048 2017-11-27
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Taxonomy Information

Taxonomy Code 207XX0005X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery
Specialization Sports Medicine

Taxonomy 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, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1619218559 Yung Han Orthopaedic Surgery 505 S Virgil Ave Ste 205, Los Angeles, CA 90020-1443 2013-03-01
1063769883 Pascual Dutton Orthopaedic Surgery 6801 Park Ter Ste 500, Los Angeles, CA 90045-9212 2012-08-10
1255658332 Carlos Andres Uquillas Orthopaedic Surgery Kerlan - Jobe Orthopaedic Clinic, 6801 Park Terrace, Suite 500, Los Angeles, CA 90025 2010-04-28
1942322060 Rodney A Gabriel M.d. Inc Orthopaedic Surgery 444 S. San Vicente Blvd., Los Angeles, CA 90048 2007-04-06
1992801203 David Ray Mcallister Orthopaedic Surgery Ucla Orthopaedic Surgery, 10833 Leconte Avenue, Los Angeles, CA 90095-0001 2006-09-15
1215039284 Marc Arnold Samson Orthopaedic Surgery 1245 Wilshire Blvd., Suite 200, Los Angeles, CA 90017 2006-09-01
1376514984 Orr Limpisvasti Orthopaedic Surgery 6801 Park Terrace, Los Angeles, CA 90045-0000 2006-01-31
1417941535 Julian E Girod Orthopaedic Surgery 5230 Pacific Concourse Dr, Suite 110, Los Angeles, CA 90045-6200 2005-09-02
1447787569 Health Link Medical Group Inc Orthopaedic Surgery 1125 S Beverly Dr Ste 720, Los Angeles, CA 90035-1180 2017-05-19
1164979803 Neil Ghodadra M.d. Inc Orthopaedic Surgery 10780 Santa Monica Blvd, Suite 210, Los Angeles, CA 90025-4749 2016-09-09
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Competitor

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City LOS ANGELES
Zip Code 90048

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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