Healthcare Provider Details

I. General information

NPI: 1578300257
Provider Name (Legal Business Name): HAND AND ORTHOPEDIC MEDICAL ASSOCIATES, A PROFESSIONAL MEDICAL CORPORA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2024
Last Update Date: 09/04/2025
Certification Date: 09/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8555 FLORENCE AVE
DOWNEY CA
90240-4014
US

IV. Provider business mailing address

PO BOX 1007
MURRIETA CA
92564-1007
US

V. Phone/Fax

Practice location:
  • Phone: 562-923-9351
  • Fax: 562-622-9041
Mailing address:
  • Phone: 951-719-3330
  • Fax: 951-296-6706

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207XS0106X
TaxonomyOrthopaedic Hand Surgery Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: ROY J CAPUTO
Title or Position: CFO
Credential: MD
Phone: 714-403-2483