Healthcare Provider Details

I. General information

NPI: 1992165914
Provider Name (Legal Business Name): ARC ORTHOPEDIC GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/03/2016
Last Update Date: 07/06/2023
Certification Date: 07/06/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7230 MEDICAL CENTER DR SUITE 604
WEST HILLS CA
91307-1907
US

IV. Provider business mailing address

7230 MEDICAL CENTER DR SUITE 501
WEST HILLS CA
91307-1907
US

V. Phone/Fax

Practice location:
  • Phone: 818-657-5640
  • Fax: 877-781-3291
Mailing address:
  • Phone: 818-348-7253
  • Fax: 818-348-7012

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberA80509
License Number StateCA

VIII. Authorized Official

Name: UMESH BHAGIA
Title or Position: PRESIDENT
Credential:
Phone: 818-625-3145