CENTER FOR ADVANCED ORTHOPEDICS AND SPORTS MEDICINE INC. NPI 1710305602

NPI Information

CENTER FOR ADVANCED ORTHOPEDICS AND SPORTS MEDICINE INC. is a specialist in Fountain Valley, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. CENTER FOR ADVANCED ORTHOPEDICS AND SPORTS MEDICINE INC. NPI is 1710305602. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

18111 BROOKHURST ST STE 2600
FOUNTAIN VALLEY, CA
ZIP 92708-728
Phone: (714) 200-1010
Fax: (714) 200-1299

The provider's authorized official is Ramy N. Elias .
The authorized official title is Owner/president and has the following contact phone number (714) 641-2640.

The CLIA number assigned to this NPI record is 05D2025465 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/28/2014 and was last updated on 4/8/2020.

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:

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