Minimally Invasive Spine Care Institute - Incorporated

Primary specialty

SpecialistTaxonomy code 174400000X

License

A40779 Issued in CA

Legal business name

MINIMALLY INVASIVE SPINE CARE INSTITUTE - INCORPORATED

Practice address

1510 S Central Ave Ste 230
Glendale, CA 91204-2583

Phone

(818) 548-1635

Fax

(818) 247-6157

NPI assigned

Apr 17, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Hartyoun Isaak Yousif, M.D.NPI 1306066899

Title

President

Phone

(818) 548-1635

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Hartyoun Isaak Yousif, M.D.

  • Specialist
  • Glendale, CA
  • NPI 1306066899
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659597789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 S CENTRAL AVE STE 230",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912042583",
            "telephone_number": "818-548-1635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 S CENTRAL AVE STE 230",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912042583",
            "telephone_number": "818-548-1635",
            "fax_number": "818-247-6157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINIMALLY INVASIVE SPINE CARE INSTITUTE - INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YOUSIF",
        "authorized_official_first_name": "HARTYOUN",
        "authorized_official_middle_name": "ISAAK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-548-1635",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A40779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Glendale, CA
• Providers in Glendale, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.