Healthcare Provider Details
I. General information
NPI: 1487516829
Provider Name (Legal Business Name): ORTHOINSIGHT EVALUATORS INC, APC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/24/2025
Last Update Date: 11/24/2025
Certification Date: 11/24/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
18872 FOWLER AVE
NORTH TUSTIN CA
92705-1217
US
IV. Provider business mailing address
PO BOX 2346
ORANGE CA
92859-0346
US
V. Phone/Fax
- Phone: 888-519-1702
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 202C00000X |
| Taxonomy | Independent Medical Examiner Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
BASEM
ATTUM
Title or Position: CEO
Credential: MD
Phone: 888-519-1702