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OPTIMAL PHYSICIAN SURGICAL GROUP NPI 1073026696


NPI Information

NPI: 1073026696
Provider Name: OPTIMAL PHYSICIAN SURGICAL GROUP
Classification: Orthopaedic Surgery - 207XX0005X
Entity Type: Organization

Specialization: Sports Medicine

Address:
25067 JIM BRIDGER RD
HIDDEN HILLS, CA
ZIP 91302
Phone: (678) 596-1344
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OPTIMAL PHYSICIAN SURGICAL GROUP is a sports medicine orthopaedic surgery in Hidden Hills, CA. The provider is an orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. OPTIMAL PHYSICIAN SURGICAL GROUP NPI is 1073026696. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

25067 JIM BRIDGER RD
HIDDEN HILLS, CA
ZIP 91302-128
Phone: (678) 596-1344
Fax: (310) 453-2535

The provider's authorized official is Neilesh Chodadra .
The authorized official title is Ceo and has the following contact phone number (678) 596-1344.

The enumeration date for this NPI number is 11/6/2017 and was last updated on 11/6/2017.


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
1207XX0005XOrthopaedic SurgerySports MedicineA116169CALIFORNIAYes

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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