Healthcare Provider Details

I. General information

NPI: 1679131114
Provider Name (Legal Business Name): BCI ORTHOPAEDICS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/30/2019
Last Update Date: 04/15/2020
Certification Date: 04/15/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24331 EL TORO RD STE 200
LAGUNA WOODS CA
92637-3116
US

IV. Provider business mailing address

17525 VENTURA BLVD SUITE 210
ENCINO CA
91316-5109
US

V. Phone/Fax

Practice location:
  • Phone: 949-767-0800
  • Fax: 949-900-2116
Mailing address:
  • Phone: 818-986-2861
  • Fax: 818-638-5762

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XX0801X
TaxonomyOrthopaedic Trauma Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. DAVID FRIEDBERG
Title or Position: OWNER AND PARTNER
Credential: MD
Phone: 949-767-0800