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NPI Code Detail

MEDICARE: ORTHOPEDIC MEDICAL CENTER2

MEDICARE: ORTHOPEDIC MEDICAL CENTER2
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1213ES0103XFoot & Ankle Surgery PodiatristCA
2332900000XNon-Pharmacy Dispensing SiteA30198CA
3207X00000XOrthopaedic Surgery PhysicianCA

General Provider Information

NPI Number : 1952624595
Entity Type Code : Organization
Provider Name (Legal Business Name) : ORTHOPEDIC MEDICAL CENTER2
Provider Business Mailing Address
First Line : 18039 SHERMAN WAY
Second Line :
City : RESEDA
State : CA
Zip : 91335-4630
Country : US
Telephone Number : 818-708-8100
Fax Number : 818-996-7008
Provider Business Practice Location Address
First Line : 18039 SHERMAN WAY
Second Line :
City : RESEDA
State : CA
Zip : 91335-4630
Country : US
Telephone Number : 818-708-8100
Fax Number : 818-996-7008
Authorized Official
Title or Position : ADMINISTRATOR
Name : MRS. ROSEMARY FRANKE
Credential :
Telephone Number : 818-708-8100
Provider Enumeration Date : 03/10/2010
Last Update Date : 08/04/2010

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1336191949 — DR. JEROME R FRIEDLAND M.D.
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1467701110 — JOYCE AMBROSIA MPT
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Directions to “ORTHOPEDIC MEDICAL CENTER2 ” Practice Location

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