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SOUTH COUNTY ORTHOPEDIC SPECIALISTS NPI 1053314625


NPI Information

NPI: 1053314625
Provider Name: SOUTH COUNTY ORTHOPEDIC SPECIALISTS
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
24331 EL TORO RD
STE 200
LAGUNA WOODS, CA
ZIP 92637
Phone: (949) 586-3200
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SOUTH COUNTY ORTHOPEDIC SPECIALISTS is a specialist in Laguna Woods, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. SOUTH COUNTY ORTHOPEDIC SPECIALISTS NPI is 1053314625. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

24331 EL TORO RD
STE 200
LAGUNA WOODS, CA
ZIP 92637-753
Phone: (949) 586-3200
Fax: (949) 900-2136

The provider's authorized official is Larry M Gersten .
The authorized official title is Officer and has the following contact phone number (949) 586-3200.

The enumeration date for this NPI number is 5/27/2005 and was last updated on 1/11/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1GR0064200OTHERCALIFORNIACAL-OPTIMA
2W13346MEDICARE PINCALIFORNIA
3CN9515OTHERCALIFORNIAMEDICARE RAILROAD
40985540001MEDICARE NSCCALIFORNIA
5X11213MEDICARE UPINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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