Healthcare Provider Details

I. General information

NPI: 1285974725
Provider Name (Legal Business Name): CENTER FOR HIP PRESERVATION AND CHILDREN'S ORTHOPAEDICS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/20/2013
Last Update Date: 02/14/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2023 W VISTA WAY SUITE B
VISTA CA
92083-6030
US

IV. Provider business mailing address

23052 ALICIA PKWY # 619
MISSION VIEJO CA
92692-1643
US

V. Phone/Fax

Practice location:
  • Phone: 760-726-5800
  • Fax: 760-726-5942
Mailing address:
  • Phone: 714-808-9797
  • Fax: 714-808-9393

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XP3100X
TaxonomyPediatric Orthopaedic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: HARISH SADANAND HOLSALKAR
Title or Position: MEDICAL DIRECTOR
Credential: M.D.
Phone: 760-726-5800