Healthcare Provider Details

I. General information

NPI: 1306297627
Provider Name (Legal Business Name): HAND AND ORTHOPEDIC CENTER OF SOUTHERN CALIFORNIA, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/28/2016
Last Update Date: 06/28/2016
Certification Date:
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:
Mailing address:
  • Phone: 951-719-3330
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XH1200X
TaxonomyHand Occupational Therapist
License NumberG57575
License Number StateCA

VIII. Authorized Official

Name: DR. ROY JOHN CAPUTO
Title or Position: PRESIDENT
Credential: M.D.
Phone: 714-403-2483