Healthcare Provider Details

I. General information

NPI: 1225732506
Provider Name (Legal Business Name): CALIFORNIA TOTAL JOINTS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/29/2023
Last Update Date: 10/11/2023
Certification Date: 10/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4500 BROCKTON AVE STE 204
RIVERSIDE CA
92501-4027
US

IV. Provider business mailing address

7256 RUE MICHAEL
LA JOLLA CA
92037-3912
US

V. Phone/Fax

Practice location:
  • Phone: 858-822-8421
  • Fax:
Mailing address:
  • Phone: 858-822-8421
  • Fax:

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: DR. OMAR KADRI
Title or Position: CEO
Credential: MD
Phone: 951-296-6676