Healthcare Provider Details

I. General information

NPI: 1730771759
Provider Name (Legal Business Name): ORTHOCARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/10/2021
Last Update Date: 11/14/2024
Certification Date: 11/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3110 CHINO AVE STE 230
CHINO HILLS CA
91709-1282
US

IV. Provider business mailing address

2058 N MILLS AVE # 519
CLAREMONT CA
91711-2812
US

V. Phone/Fax

Practice location:
  • Phone: 909-788-1900
  • Fax: 909-788-1901
Mailing address:
  • Phone: 909-788-1900
  • Fax: 909-788-1901

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207XX0005X
TaxonomySports Medicine (Orthopaedic Surgery) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. AFSHIN ARIANJAM
Title or Position: PRESIDENT/ CEO
Credential: MD
Phone: 909-788-1900