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SPORTS AND SPINE ORTHOPAEDICS NPI 1811936743


NPI Information

NPI: 1811936743
Provider Name: SPORTS AND SPINE ORTHOPAEDICS
Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Organization
Address:
23456 HAWTHORNE BLVD
SUITE 200 BUILDING 5
TORRANCE, CA
ZIP 90505
Phone: (310) 375-8700
Get Directions

SPORTS AND SPINE ORTHOPAEDICS is an orthopaedic surgery in Torrance, CA. The provider is 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. SPORTS AND SPINE ORTHOPAEDICS NPI is 1811936743. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

23456 HAWTHORNE BLVD
SUITE 200 BUILDING 5
TORRANCE, CA
ZIP 90505-716
Phone: (310) 375-8700

The provider's authorized official is Nora Mies .
The authorized official title is Patient Account Rep and has the following contact phone number (310) 375-8700.

The enumeration date for this NPI number is 6/6/2006 and was last updated on 1/28/2014.


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 SurgeryA62201CALIFORNIAYes

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
1601860000OTHERCALIFORNIADOL
2A62201MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA
3W17174MEDICARE PINCALIFORNIA
4H25128MEDICARE UPINCALIFORNIA
56332760001OTHERCALIFORNIANATIONAL SUPPLIER CLEARINGHOUSE
66332760001MEDICARE NSCCALIFORNIA

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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