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PREMIER ORTHOPAEDIC TRAUMA SPECIALISTS PMC NPI 1407304439


NPI Information

NPI: 1407304439
Provider Name: PREMIER ORTHOPAEDIC TRAUMA SPECIALISTS, PMC
Classification: Orthopaedic Surgery - 207XX0801X
Entity Type: Organization

Specialization: Orthopaedic Trauma

CLIA Number: 05D2211750

Address:
160 E ARTESIA ST STE 310
POMONA, CA
ZIP 91767
Phone: (909) 865-9520
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PREMIER ORTHOPAEDIC TRAUMA SPECIALISTS, PMC is an orthopaedic trauma orthopaedic surgery in Pomona, CA. The provider is recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic trauma surgeons deal with the evaluation and management of acute orthopaedic injuries, evaluation and treatment of post-traumatic deformities and nonunions, acute and delayed reconstruction of pelvic and acetabular fractures, as well as osteotomy in the adult hip for treatment of hip arthritis. PREMIER ORTHOPAEDIC TRAUMA SPECIALISTS, PMC NPI is 1407304439. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

160 E ARTESIA ST STE 310
POMONA, CA
ZIP 91767-922
Phone: (909) 865-9520

The provider's authorized official is Hrayr Basmajian .
The authorized official title is Owner and has the following contact phone number (909) 596-4346.

The CLIA number assigned to this NPI record is 05D2211750 - independent with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/20/2016 and was last updated on 1/6/2019.


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
1207XX0801XOrthopaedic SurgeryOrthopaedic TraumaA105584CALIFORNIAYes

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

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