Healthcare Provider Details

I. General information

NPI: 1902831514
Provider Name (Legal Business Name): ADULT AND PEDIATRIC ORTHOPAEDIC SPECIALISTS A MEDICAL GROUP INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/11/2006
Last Update Date: 06/01/2020
Certification Date: 06/01/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1310 W STEWART DR SUITE 508
ORANGE CA
92868-3854
US

IV. Provider business mailing address

1310 W STEWART DR STE 508
ORANGE CA
92868-3856
US

V. Phone/Fax

Practice location:
  • Phone: 714-633-2111
  • Fax: 714-633-5615
Mailing address:
  • Phone: 714-633-2111
  • Fax: 714-633-5615

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code207XP3100X
TaxonomyPediatric Orthopaedic Surgery Physician
License Number
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code207XX0005X
TaxonomySports Medicine (Orthopaedic Surgery) Physician
License Number
License Number StateCA

VIII. Authorized Official

Name: FRANCOIS LALONDE
Title or Position: PRESIDENT
Credential: M.D.
Phone: 714-633-2111