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General NPI Number Information
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NPI Number | 1548403959
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Entity Type | Organization
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Legal Business Name | CALIFORNIA ORTHOPEDIC INSTITUTE INC
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Dates
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Enumeration Date | 04/15/2009
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Last Update Date | 03/18/2010
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Provider Practice Location Address
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Address Line | 1513 S. GRAND AVE #208
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City | LOS ANGELES
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State | CA
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Zip | 90015
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Country | US
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Telephone | 213-765-8088
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Fax | 213-765-8181
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Provider Business Mailing Address
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Address Line | P.O. BOX 4029
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City | CERRITOS
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State | CA
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Zip | 90703
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Country | US
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Telephone | 213-765-8088
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Fax | 213-765-8181
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. GARY Y CHEN, M.D
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Credential | ORTHOPEDIC SURGEON
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Telephone | 562-547-6241
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 204C00000X
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Taxonomy Name | Sports Medicine (Neuromusculoskeletal Medicine) Physician
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License Number | A78259
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207XS0114X
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Taxonomy Name | Adult Reconstructive Orthopaedic Surgery Physician
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License Number | A78259
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number | A78259
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 207XX0004X
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Taxonomy Name | Orthopaedic Foot and Ankle Surgery Physician
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License Number | A78259
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License Number State | CA
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Taxonomy #5
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Taxonomy Code | 207XX0801X
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Taxonomy Name | Orthopaedic Trauma Physician
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License Number | A78259
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License Number State | CA
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Taxonomy #6
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Taxonomy Code | 2251S0007X
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Taxonomy Name | Sports Physical Therapist
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License Number | A78259
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License Number State | CA
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Taxonomy #7
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | A78259
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License Number State | CA
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Taxonomy #8
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | A78259
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License Number State | CA
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Taxonomy #9
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Taxonomy Code | 225XH1200X
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Taxonomy Name | Hand Occupational Therapist
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License Number | A78259
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License Number State | CA
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Taxonomy #10
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | A78259
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License Number State | CA
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Taxonomy #11
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | A78259
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License Number State | CA
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Taxonomy #12
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Taxonomy Code | 207XS0106X
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Taxonomy Name | Orthopaedic Hand Surgery Physician
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License Number | A78259
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License Number State | CA
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