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General NPI Number Information
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NPI Number | 1609345511
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Entity Type | Organization
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Legal Business Name | BKP MEDICAL AND ORTHOPEDIC GROUP A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 11/20/2018
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Last Update Date | 11/14/2025
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Provider Practice Location Address
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Address Line | 412 W AVENUE J STE D&F
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City | LANCASTER
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State | CA
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Zip | 93534-3685
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Country | US
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Telephone | 661-723-3375
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Fax | 661-723-7635
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Provider Business Mailing Address
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Address Line | 16542 VENTURA BLVD STE 500
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City | ENCINO
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State | CA
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Zip | 91436-4510
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Country | US
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Telephone | 818-808-2828
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Fax | 818-788-0386
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | ELISSA FISHMAN
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Credential |
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Telephone | 818-808-2828
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 2083X0100X
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Taxonomy Name | Occupational Medicine Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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Taxonomy #10
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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Taxonomy #11
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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