ORTHO AND SURGICAL 1ST ASSIST NPI 1972757490

NPI Information

NPI: 1972757490
Provider Name: ORTHO AND SURGICAL 1ST ASSIST
Classification: Physician Assistant - 363AS0400X
Entity Type: Organization

Specialization: Surgical

Address:
250 S GRAND AVE
GLENDORA, CA
ZIP 91741
Phone: (626) 938-7613
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ORTHO AND SURGICAL 1ST ASSIST is a surgical physician assistant in Glendora, CA. ORTHO AND SURGICAL 1ST ASSIST NPI is 1972757490. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

250 S GRAND AVE
GLENDORA, CA
ZIP 91741-218
Phone: (626) 938-7613

The provider's authorized official is Rene Philippe Baquet .
The authorized official title is Owner and has the following contact phone number (407) 328-0825.

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

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AS0400X	Physician Assistant	Surgical	PA11523	CALIFORNIA	Yes

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

NPI Synchronization or Removal

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