Healthcare Provider Details

I. General information

NPI: 1770964454
Provider Name (Legal Business Name): BILLINGS ORTHOPEDICS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2015
Last Update Date: 08/28/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1245 WILSHIRE BLVD SUITE 611
LOS ANGELES CA
90017-4810
US

IV. Provider business mailing address

1245 WILSHIRE BLVD SUITE 611
LOS ANGELES CA
90017-4810
US

V. Phone/Fax

Practice location:
  • Phone: 213-482-6100
  • Fax: 213-482-6104
Mailing address:
  • Phone: 213-482-6100
  • Fax: 213-482-6104

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. ANNETTE BILLINGS
Title or Position: OWNER
Credential: MD
Phone: 213-482-6100