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JACK PURDY MD INC NPI 1154510899


NPI Information

NPI: 1154510899
Provider Name: JACK PURDY MD INC
Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Organization
Address:
17525 VENTURA BLVD STE 203
ENCINO, CA
ZIP 91316
Phone: (818) 986-0200
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JACK PURDY MD INC is an orthopaedic surgery in Encino, 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. JACK PURDY MD INC NPI is 1154510899. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

17525 VENTURA BLVD STE 203
ENCINO, CA
ZIP 91316-109
Phone: (818) 986-0200
Fax: (818) 986-4393

The provider's authorized official is Jack C Purdy .
The authorized official title is Owner/ Ceo Physcian And Surgeon and has the following contact phone number (310) 453-3533.

The enumeration date for this NPI number is 10/18/2007 and was last updated on 2/26/2010.


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 SurgeryG31387CALIFORNIAYes

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
1G31387OTHERCALIFORNIASTATE LICENSE
2A44751MEDICARE UPIN

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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