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SOUTHERN CALIFORNIA ORTHOPEDIC MEDICAL GROUP INC NPI 1407082159


NPI Information

NPI: 1407082159
Provider Name: SOUTHERN CALIFORNIA ORTHOPEDIC MEDICAL GROUP INC
Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Organization
Address:
3602 INLAND EMPIRE BLVD
SUITE B 120
ONTARIO, CA
ZIP 91764
Phone: (909) 941-3986
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SOUTHERN CALIFORNIA ORTHOPEDIC MEDICAL GROUP INC is an orthopaedic surgery in Ontario, 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. SOUTHERN CALIFORNIA ORTHOPEDIC MEDICAL GROUP INC NPI is 1407082159. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3602 INLAND EMPIRE BLVD
SUITE B 120
ONTARIO, CA
ZIP 91764-900
Phone: (909) 941-3986
Fax: (909) 941-3988

The provider's authorized official is Andrew J Miles .
The authorized official title is Owner and has the following contact phone number (909) 941-3986.

The enumeration date for this NPI number is 6/9/2009 and was last updated on 8/31/2016.


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
1111N00000XChiropractorNo
2171100000XAcupuncturistNo
3174400000XSpecialistNo
4207LP2900XAnesthesiologyPain MedicineNo
5207XS0114XOrthopaedic SurgeryAdult Reconstructive Orthopaedic SurgeryNo
6207X00000XOrthopaedic SurgeryYes

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.