STUDIO CITY ORTHOPEDIC & MEDICAL GROUP (NPI# 1548270028) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548270028 |
| Entity Type | Organization |
| Organization Name | STUDIO CITY ORTHOPEDIC & MEDICAL GROUP |
| Practice Address |
11650 Riverside Dr Second Floor North Hollywood CA 91602-1093 |
| Practice Telephone | 8187556070 |
| Practice Fax Number | 8187551870 |
| Mailing Telephone | 8187556070 |
| Mailing Fax Number | 8187551870 |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2008-08-12 |
| Authorized Official Name | BENJAMIN BROUKHIM (PRESIDENT/MEDICAL DIRECTOR) |
| Authorized Official Telephone | 8187556070 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| Street Address |
11650 RIVERSIDE DR SECOND FLOOR |
| City | NORTH HOLLYWOOD |
| State | CA |
| Zip Code | 91602-1093 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548281371 | Erin T. Childs | Marriage & Family Therapist | 11650 Riverside Dr, Suite 7, North Hollywood, CA 91602-1093 | 2006-07-21 |
| 1326592205 | Leigh Lustig | Psychologist | 11650 Riverside Dr, Suite 10, North Hollywood, CA 91602-1093 | 2016-08-09 |
| 1841643392 | Aline Manouguian | Marriage & Family Therapist | 11650 Riverside Dr, 10, North Hollywood, CA 91602-1093 | 2016-07-20 |
| 1073965497 | Soker Psychotherapy and Licensed Clinical Social Work Services, Inc. | Social Worker | 11650 Riverside Dr, Suite 10, North Hollywood, CA 91602-1093 | 2016-07-09 |
| 1447655188 | Mohsen Safaie Pt Inc. | Specialist | 11650 Riverside Dr, 2nd Floor, North Hollywood, CA 91602-1093 | 2014-10-23 |
| 1962805242 | Premier Pain Management, Inc. | Clinic/Center | 11650 Riverside Dr, 2nd Floor, North Hollywood, CA 91602-1093 | 2014-10-01 |
| 1023248481 | Sapphire Medical | Radiology | 11650 Riverside Dr, Ste 6, North Hollywood, CA 91602-1093 | 2009-07-20 |
| 1336386630 | Professional Pharmacy Services, Inc. | Home Infusion | 11650 Riverside Dr, #6, North Hollywood, CA 91602-1093 | 2009-01-08 |
| 1962659151 | Benjamin Broukhim M.d. A Medical Corp | Orthopaedic Surgery | 11650 Riverside Dr, Second Floor, North Hollywood, CA 91602-1093 | 2008-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679112882 | Da Oum Remnant Acupuncture Corporation | Acupuncturist | 10674 Riverside Drive, North Hollywood, CA 91602 | 2020-01-06 |
| 1043704927 | Brandi Carter | Nurse Practitioner | 10222 Camarillo St Apt 107, Toluca Lake, CA 91602 | 2018-06-14 |
| 1669904587 | Katelyn Story Kalstein | Naturopath | 11650 Riverside Dr., Ph-2a, Studio City, CA 91602 | 2017-03-30 |
| 1255781118 | Karla Morales | Dental Hygienist | 10707 Camarillo St, #305, West Toluca Lake, CA 91602 | 2016-06-21 |
| 1457738536 | Mallory Garrett | Marriage & Family Therapist | 10737 Riverside Dr, N Hollywood, CA 91602 | 2015-04-28 |
| 1831590322 | Victoria J. Chan | Nurse Practitioner | 4418 Vineland Avenue Suite 102, Toluca Lake, CA 91602 | 2014-09-16 |
| 1679916076 | Richard Villasenor | Ophthalmology | 10520 Camarillo St, Toluca Lake, CA 91602 | 2013-04-16 |
| 1275878233 | Julissa Trusty | Marriage & Family Therapist | 11334 Camarillo St, North Hollywood, CA 91602 | 2012-12-03 |
| 1265789531 | Marina Serobyan | Marriage & Family Therapist | 10999 Riverside Drive, Suite 306, Toluca Lake, CA 91602 | 2012-08-06 |
| 1407133457 | Hearing Aid Counselors, Inc | Durable Medical Equipment & Medical Supplies | 11008 Riverside Dr, Toluca Lake, CA 91602 | 2011-11-04 |
| Find all providers in zip 91602 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871768788 | Andrew M Steiner | Orthopaedic Surgery | 12660 Riverside Dr Ste 201, North Hollywood, CA 91607-3430 | 2008-04-23 |
| 1144439316 | Shahab Mahboubian | Orthopaedic Surgery | 10640 Riverside Drive, North Hollywood, CA 91602-2319 | 2007-05-22 |
| 1487861282 | United Multispecialty Medical Group | Orthopaedic Surgery | 6801 Coldwater Canyon Ave Ste 1e, North Hollywood, CA 91605-5167 | 2007-05-17 |
| 1861595829 | Behrooz Broukhim | Orthopaedic Surgery | 10640 Riverside Dr, North Hollywood, CA 91602 | 2006-09-06 |
| 1073573283 | Benjamin Broukhim | Orthopaedic Surgery | 10614 Riverside Dr, North Hollywood, CA 91602-2373 | 2006-03-23 |
| 1962659151 | Benjamin Broukhim M.d. A Medical Corp | Orthopaedic Surgery | 11650 Riverside Dr, Second Floor, North Hollywood, CA 91602-1093 | 2008-08-19 |
| 1003023821 | Robere J. Missirian Md Inc | Orthopaedic Surgery | 6801 Coldwater Canyon Ave Ste 1e, North Hollywood, CA 91605-5167 | 2007-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578163382 | San Bernardino Medical Orthopaedic Group Inc | Orthopaedic Surgery | 8805 Haven Ave Ste 100, Rancho Cucamonga, CA 91730-5149 | 2020-10-30 |
| 1376142067 | San Bernardino Medical Orthopaedic Gro | Orthopaedic Surgery | 4500 Brockton Ave Ste 306, Riverside, CA 92501-4027 | 2020-10-22 |
| 1699372326 | Adventist Health Physicians Network | Orthopaedic Surgery | 84 Madrone St Ste A, Willits, CA 95490-4249 | 2020-10-06 |
| 1982215992 | Roshan T Melvani Md Inc | Orthopaedic Surgery | 12677 Hesperia Rd Ste 140, Victorville, CA 92395-7735 | 2020-08-13 |
| 1164033684 | First Care Multispecialty Medical Group, Inc. | Orthopaedic Surgery | 4401 Atlantic Ave Ste 480, Long Beach, CA 90807-2265 | 2020-08-10 |
| 1194343855 | Orthopaedic Group of Orange County | Orthopaedic Surgery | 1200 N Tustin Ave Ste 250, Santa Ana, CA 92705-3596 | 2020-07-09 |
| 1497372536 | Kaley Brown Surgical Pa | Orthopaedic Surgery | 360 Tom Mcguinness Jr Cir, Fallbrook, CA 92028-2623 | 2020-07-05 |
| 1982220612 | Advanced Orthopaedic Surgeons At Long Beach, Inc | Orthopaedic Surgery | 1760 Termino Ave Ste 208, Long Beach, CA 90804-2151 | 2020-06-18 |
| 1982227609 | Sun Medical Group Huntington, Inc | Orthopaedic Surgery | 7801 Center Ave Ste 203, Huntington Beach, CA 92647-9118 | 2020-05-28 |
| 1932722733 | Julian Hakim Baloyan | Orthopaedic Surgery | 333 H St Ste 5000503, Chula Vista, CA 91910-5555 | 2020-05-27 |
| Find all providers with the same taxonomy | ||||
| City | NORTH HOLLYWOOD |
| Zip Code | 91602 |
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| 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.