Healthcare Provider Details

I. General information

NPI: 1861451445
Provider Name (Legal Business Name): TRI-CITY ORTHOPAEDIC SURGERY MEDICAL GROUP INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/21/2006
Last Update Date: 04/17/2025
Certification Date: 04/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3905 WARING RD
OCEANSIDE CA
92056-4405
US

IV. Provider business mailing address

3905 WARING RD
OCEANSIDE CA
92056-4405
US

V. Phone/Fax

Practice location:
  • Phone: 760-724-9000
  • Fax: 760-724-3686
Mailing address:
  • Phone: 760-724-9000
  • Fax: 760-724-3686

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: ANDREW HARTMAN
Title or Position: PRESIDENT
Credential: M.D.
Phone: 760-724-9000