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LA JOLLA ORTHOPEDIC TRAUMA INC NPI 1598154189


NPI Information

NPI: 1598154189
Provider Name: LA JOLLA ORTHOPEDIC TRAUMA INC
Classification: Orthopaedic Surgery - 207XX0801X
Entity Type: Organization

Specialization: Orthopaedic Trauma

Address:
9850 GENESEE AVE
SUITE 210
LA JOLLA, CA
ZIP 92037
Phone: (858) 535-1075
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LA JOLLA ORTHOPEDIC TRAUMA INC is an orthopaedic trauma orthopaedic surgery in La Jolla, CA. The provider is recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic trauma surgeons deal with the evaluation and management of acute orthopaedic injuries, evaluation and treatment of post-traumatic deformities and nonunions, acute and delayed reconstruction of pelvic and acetabular fractures, as well as osteotomy in the adult hip for treatment of hip arthritis. LA JOLLA ORTHOPEDIC TRAUMA INC NPI is 1598154189. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

9850 GENESEE AVE
SUITE 210
LA JOLLA, CA
ZIP 92037-224
Phone: (858) 535-1075
Fax: (858) 452-3283

The provider's authorized official is Richard Thunder .
The authorized official title is President and has the following contact phone number (858) 535-1075.

The enumeration date for this NPI number is 1/20/2015 and was last updated on 5/17/2022.


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
1207X00000XOrthopaedic SurgeryNo
2207XS0106XOrthopaedic SurgeryHand SurgeryNo
3207XS0114XOrthopaedic SurgeryAdult Reconstructive Orthopaedic SurgeryNo
4207XS0117XOrthopaedic SurgeryOrthopaedic Surgery of the SpineNo
5207XX0004XOrthopaedic SurgeryFoot and Ankle SurgeryNo
6207XX0005XOrthopaedic SurgerySports MedicineNo
7207XX0801XOrthopaedic SurgeryOrthopaedic TraumaYes

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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